Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANTON L FANIEL
ActiveSHANTON L FANIEL is a Driver healthcare provider located in SODUS, New York. NPI 1104399773 is currently active in the NPPES registry. Verify at CMS.
Driver · SODUS, NY
Registration Details
- NPI Number
- 1104399773
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 7, 2019 (7.6198540946806 yrs)
- Last Updated
- Jan 7, 2019
Practice Information
- Address
-
5367 SOUTH STSODUS, NY, 145519542Browse NY providers · Browse ZIP 14551
- Phone
- 3155769434
- Primary Specialty
-
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.