Individual
SHANLEY BLACKLEY SIFAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1000
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4600
(585) 461-1231
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
276535
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
62287
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2011
Last updated
01/22/2021
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