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Shana Eldridge, BS
Specialist in Fairport, New York
NPI 1518220672

Shana Eldridge is a Specialist based in Fairport, NY. Shana Eldridge practices in Fairport, NY and has the professional credentials of BS. The NPI Number for Shana Eldridge is 1518220672 and holds a License No. 455509101 (New York).

The current practice location address for Shana Eldridge is 6 N Main St, Fairport, NY and can be reached out via phone at 585-377-6590.

Location: 6 N Main St, Fairport, NY, 14450-1524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518220672
Provider Name
Shana Eldridge
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
6 N Main St, Fairport, NY, 14450-1524
Phone Number
585-377-6590
Fax Number
Provider Enumeration Date
06/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0935 01 NY CENTER FOR AUTISM AND RELATED DISORDERS
institution
Provider Business Practice Location Address Details
Address
6 N Main St
City
Fairport
State
New York
Zip
14450-1524
Phone Number
585-377-6590
Fax Number
person
Provider Business Mailing Address Details
Address
6 N Main St
City
Fairport
State
New York
Zip
14450-1524
Phone Number
585-377-6590
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
455509101 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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