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Dr. Shain S Wallis, DO
Diagnostic Radiology Physician in Liverpool, New York
NPI 1356653729

Shain S Wallis is a Diagnostic Radiology Physician based in Liverpool, NY and is specialized in Diagnostic Radiology. Shain S Wallis practices in Liverpool, NY and has the professional credentials of DO. The NPI Number for Shain S Wallis is 1356653729 and holds a License No. (New York).

The current practice location address for Shain S Wallis is 5100 West Taft Rd, Liverpool, NY and can be reached out via phone at 315-452-2666 and via fax at 315-452-2669.

Location: 5100 West Taft Rd, Liverpool, NY, 13088-3589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356653729
Provider Name
Shain S Wallis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5100 West Taft Rd, Liverpool, NY, 13088-3589
Phone Number
315-452-2666
Fax Number
315-452-2669
Provider Enumeration Date
07/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5100 West Taft Rd
City
Liverpool
State
New York
Zip
13088
Phone Number
315-452-2666
Fax Number
315-452-2669
person
Provider Business Mailing Address Details
Address
5100 West Taft Rd
City
Liverpool
State
New York
Zip
13088
Phone Number
315-452-2666
Fax Number
315-452-2669
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
264957 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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