DAVID SHACK

NEW YORK, NY
NPI1255889978
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F307993)
Enumeration Date2016-09-12
Last Update Date2017-04-05
Business Address
-- DAVID SHACK AGPCNP-BC
75 MAIDEN LN STE 1206
NEW YORK, NY 10038-4810
Phone number: 212-995-6495
Mailing Address
-- DAVID SHACK AGPCNP-BC
75 MAIDEN LN STE 1206
NEW YORK, NY 10038-4810
Phone number: 212-995-6495
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