Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laurel J Shambo, PA

Individual provider Physician Assistant · NPI 1871881649

Laurel J Shambo, PA is a Physician Assistant in Webster, New York. Graduated from Albany Medical College of Union University in 2011, 15 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1065 Ridge Rd
Webster, NY 14580-2952
Phone: (585) 872-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9732 State Route 12, Copenhagen, NY 13626-2906 — (315) 688-2305

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015328 (NY)
Physician Assistant Taxonomy 363A00000X · Licence P80534 (NY)

Record details

NPI number1871881649
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 14, 2011
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address100 Kings Hwy S, Rochester, NY 14617-5504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2011 (15 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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