Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 300567 | NY |
N | 208600000X | Surgeon | 300567 | NY |
Y | 2086X0206X | Surgical Oncologist | 300567 | NY |
NPI | 1144546854 |
---|---|
Provider Name | Shalana Bria Labayen O'brien |
First Address | Buffalo, NY 14263-0001 |
Second Address | Buffalo, NY 14263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2010 |
Last Update Date | 02/02/2021 |