person
Shannon Derose, RPA-C
Surgical Physician Assistant in Rochester, New York
NPI 1407004898

Shannon Derose is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. Shannon Derose practices in Rochester, NY and has the professional credentials of RPA-C. The NPI Number for Shannon Derose is 1407004898 and holds a License No. 012694 (New York).

The current practice location address for Shannon Derose is 125 Red Creek Dr Ste 205, Rochester, NY and can be reached out via phone at 585-723-7600 and via fax at 585-334-6373. You can also correspond with Shannon Derose through the mailing address at 1555 LONG POND RD, ROCHESTER, NY - 14626-4122 (mailing address contact number: 585-723-7281).

Location: 125 Red Creek Dr Ste 205, Rochester, NY, 14626-4122
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Provider Profile Details
NPI Number
1407004898
Provider Name
Shannon Derose
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
125 Red Creek Dr Ste 205, Rochester, NY, 14626-4122
Phone Number
585-723-7600
Fax Number
585-334-6373
Provider Enumeration Date
08/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03607632 05 NY
institution
Provider Business Practice Location Address Details
Address
125 Red Creek Dr Ste 205
City
State
Zip
14623-4262
Phone Number
585-723-7600
Fax Number
585-334-6373
person
Provider Business Mailing Address Details
Address
125 Red Creek Dr Ste 205
City
State
Zip
14623-4262
Phone Number
585-723-7600
Fax Number
585-334-6373
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
012694 (New York)
Definition
Definition to come...
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