Individual
MRS. SHANNON M BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
500 STERLING DR, ORCHARD PARK, NY 14127-1573
(716) 677-2273
(716) 677-2477
Mailing address
500 STERLING DR, ORCHARD PARK, NY 14127-1573
(716) 677-2273
(716) 677-2477
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
010939-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027341602
UNIVERA
NY
01
—
000570565002
COMMUNITY BLUE
NY
05
—
02740518
—
NY
01
—
060407000031
FIDELIS CARE
NY
01
—
161511795
HUMANA
NY
01
—
189972FZ
PREFERRED CARE
NY
01
—
4149287
MVP
NY
01
—
9513046
INDEPENDENT HEALTH
NY
01
—
P00341649
RAILROAD MEDICARE
NY
01
—
P019010939
EXCELLUS BLUE CHOICE
NY
Enumeration date
06/19/2006
Last updated
08/13/2015
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