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Organization
NATHANIEL SHAFER, M.D., P.C.
Active
Organization
NATHANIEL SHAFER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL SHAFER M.D. (PRINCIPAL)
(212) 289-7120
Entity
Organization
Contact information
Practice address
10 E 85TH ST, NEW YORK, NY 10028-0412
(212) 289-7120
(212) 879-9364
Mailing address
10 E 85TH ST, NEW YORK, NY 10028-0412
(212) 289-7120
(212) 879-9364
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
076953
NY
207R00000X
Internal Medicine Physician
Primary
076953
NY
208D00000X
General Practice Physician
076953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001-04921
—
NY
01
—
076953-9B
IME
NY
Enumeration date
09/17/2009
Last updated
09/17/2009
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