Individual
MR. AARON MICHAEL SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 361-7684
Mailing address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 361-7684
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3111108
NY
Other
Enumeration date
06/05/2012
Last updated
03/22/2023
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