NEIL FREDERICK SHALLISH

ITHACA, NY
NPI1568494755
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  143456)
Enumeration Date2006-07-07
Last Update Date2007-07-08
Business Address
-- NEIL FREDERICK SHALLISH M.D.
209 W STATE ST
ITHACA, NY 14850-5429
Phone number: 607-277-4341
Mailing Address
-- NEIL FREDERICK SHALLISH M.D.
120 LARCHMONT DR
TRUMANSBURG, NY 14886-9718
Phone number: 607-387-5890
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