Individual
MR. JEFFREY MARK SHEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011865-4
NY
363AS0400X
Surgical Physician Assistant
Primary
011865-1
NY
Other
Enumeration date
06/21/2007
Last updated
01/06/2020
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