Neil Frederick Shallish in Trumansburg - Family Medicine

Neil Frederick Shallish - NPI 1568494755

Neil Frederick Shallish is a Family Medicine in Trumansburg, New York. Neil Frederick Shallish practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Neil Frederick Shallish is 1568494755. The last update date is 2007-07-08.

Neil Frederick Shallish's current location address is 120 Larchmont Dr, Trumansburg, New York. You can contact this provider via phone number 6073875890. The mailing address for Neil Frederick Shallish is 120 Larchmont Dr, Trumansburg, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Neil Frederick Shallish
Address 120 Larchmont Dr, Trumansburg, New York
Phone Number 6073875890
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1568494755
Provider Enumeration Date 2006-07-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 120 Larchmont Dr
City Trumansburg
State New York (NY)
Post Code 148869718
Phone Number 6073875890
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 143456
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
705660 NY --

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FAQs about Neil Frederick Shallish

What is the Neil Frederick Shallish's unique identification number?

The Neil Frederick Shallish has been assigned the NPI (National Provider Identifier) Number 1568494755 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Neil Frederick Shallish is located?

The Neil Frederick Shallish is situated at the following address: 120 Larchmont Dr, Trumansburg, NY, 148869718.

What is the Neil Frederick Shallish's area of specialization and corresponding taxonomy classification?

The Neil Frederick Shallish's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did Neil Frederick Shallish receive its 1568494755 assignment from the Centers for Medicare & Medicaid Services?

The Neil Frederick Shallish was assigned its 1568494755 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Neil Frederick Shallish, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Neil Frederick Shallish, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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