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Gregory B. Shankman, M.d., P.c.
Specialist in Utica, New York
NPI 1255458543

Gregory B. Shankman, M.d., P.c. is a Specialist based in Utica, NY. Gregory B. Shankman, M.d., P.c. practices in Utica, NY. The NPI Number for Gregory B. Shankman, M.d., P.c. is 1255458543 and holds a License No. 134913 (New York).

The current practice location address for Gregory B. Shankman, M.d., P.c. is 1418 Genesee St, Utica, NY and can be reached out via phone at 135-797-0111 and via fax at 315-735-3459.

Location: 1418 Genesee St, Utica, NY, 13505-8190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255458543
Provider Name
Gregory B. Shankman, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
1418 Genesee St, Utica, NY, 13505-8190
Phone Number
135-797-0111
Fax Number
315-735-3459
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
134913 01 NY NY STATE LICENSE
00560072 05 NY
institution
Provider Business Practice Location Address Details
Address
1418 Genesee St
City
Utica
State
New York
Zip
13502-5101
Phone Number
135-797-0111
Fax Number
315-735-3459
person
Provider Business Mailing Address Details
Address
1418 Genesee St
City
Utica
State
New York
Zip
13502-5101
Phone Number
135-797-0111
Fax Number
315-735-3459
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
134913 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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