Jian Shu, LICAC

Practice location

Address

6836 E Genesee St, Fayetteville, NY 13066-1024

Phone

(315) 449-0464

Fax

(315) 449-3734

Registered specialties

Registry record

NPI

1962591891

Entity type

Individual

Sex (as registered)

Female

NPI issued

11 Oct 2006

Record last updated

8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.