Individual
MR. BRIAN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
484 BRAXMAR RD, TONAWANDA, NY 14150-8160
(585) 615-5187
Mailing address
484 BRAXMAR RD, TONAWANDA, NY 14150-8160
(585) 615-5187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
543021
NY
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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