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Organization
GREGORY B. SHANKMAN, M.D., P.C.
Active
Organization
GREGORY B. SHANKMAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN C. LYNCH (PRACTICE MANAGER)
(315) 797-0111
Entity
Organization
Contact information
Practice address
1418 GENESEE ST, UTICA, NY 13502-5101
(135) 797-0111
(315) 735-3459
Mailing address
PO BOX 8190, UTICA, NY 13505-8190
(315) 797-0111
(315) 735-3459
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
134913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00560072
—
NY
01
—
134913
NY STATE LICENSE
NY
Enumeration date
03/23/2007
Last updated
08/22/2020
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