Individual
DR. ROBERT JOSEPH SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
315 BRIDGE ST, SYRACUSE, NY 13209-1555
(315) 487-2225
(315) 487-2225
Mailing address
315 BRIDGE ST, SYRACUSE, NY 13209-1555
(315) 487-2225
(315) 487-2225
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
X004756-1
NY
Other
Enumeration date
11/02/2006
Last updated
04/27/2009
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