Individual
MAUREEN A SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 204-4500
(716) 204-4501
Mailing address
5007 TRANSIT RD, DEPEW, NY 14043-4617
(716) 204-4500
(716) 204-4501
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
005534-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02354272
—
NY
Enumeration date
05/27/2006
Last updated
03/23/2015
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