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1568494755
NEIL FREDERICK SHALLISH
ITHACA, NY
NPI
1568494755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 143456)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- NEIL FREDERICK SHALLISH M.D.
209 W STATE ST
ITHACA, NY 14850-5429
Phone number: 607-277-4341
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Mailing Address
-- NEIL FREDERICK SHALLISH M.D.
120 LARCHMONT DR
TRUMANSBURG, NY 14886-9718
Phone number: 607-387-5890
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