Dr. Shannon Dean
Pediatrician Child Neurologist Clinical Neurophysiologist
601 Elmwood Ave.
Rochester
, New York 14642-0001
Dr. Shannon Dean
Pediatrician Child Neurologist Clinical Neurophysiologist
601 Elmwood Ave.
Rochester
, New York 14642-0001
(585) 424-7289
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About
Features
Specialties
- Pediatrician
- Child Neurologist
- Clinical Neurophysiologist
Languages spoken
- English
Location
First Address
- Dr. Shannon Dean
- 601 Elmwood Ave Box 278984
- Rochester, NY
- Zip : 14642-0001
- Fax : (585) 424-7289
- Phone : (585) 784-9277
Second Address
- Dr. Shannon Dean
- 601 Elmwood Ave.
- Rochester, NY
- Zip : 14642-0001
- Fax : (585) 275-3683
- Phone : (585) 275-2808
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | P27654 | MD |
| N | 2084N0402X | Child Neurologist | P27654 | MD |
| Y | 2084N0600X | Clinical Neurophysiologist | 289101 | NY |
National Provider Identifier
| NPI | 1376803577 |
|---|---|
| Provider Name | Dr. Shannon Dean |
| First Address | Rochester, NY 14642-0001 |
| Second Address | Rochester, NY 14642-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2012 |
| Last Update Date | 25/07/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P27654 | STATE LICENSE NUMBER (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.