JACK STACEY SHANEWISE

NEW YORK, NY
NPI1467506162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  234156)
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
Dr. JACK STACEY SHANEWISE M.D.
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-9878
Mailing Address
Dr. JACK STACEY SHANEWISE M.D.
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-9878
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