person
David Shack, AGPCNP-BC
Adult Health Nurse Practitioner in New York, New York
NPI 1255889978

David Shack is an Adult Health Nurse Practitioner based in New York, NY and is specialized in Adult Health. David Shack practices in New York, NY and has the professional credentials of AGPCNP-BC. The NPI Number for David Shack is 1255889978 and holds a License No. F307993 (New York).

The current practice location address for David Shack is 75 Maiden Ln, New York, NY and can be reached out via phone at 212-995-6495 and via fax at 212-379-6486.

Location: 75 Maiden Ln, New York, NY, 10038-4810
person
Provider Profile Details
NPI Number
1255889978
Provider Name
David Shack
Credential
AGPCNP-BC
Provider Entity Type
Individual
Gender
Male
Address
75 Maiden Ln, New York, NY, 10038-4810
Phone Number
212-995-6495
Fax Number
212-379-6486
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
75 Maiden Ln
City
State
Zip
10038-4810
Phone Number
212-995-6495
Fax Number
212-379-6486
person
Provider Business Mailing Address Details
Address
75 Maiden Ln
City
State
Zip
10038-4810
Phone Number
212-995-6495
Fax Number
212-379-6486
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F307993 (New York)
Definition
Definition to come...
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