Organization
RICHARD SHANIN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D SHANIN DPM (DOCTOR)
(845) 294-5510
Entity
Organization
Contact information
Practice address
53 W MAIN ST, POB 307, GOSHEN, NY 10924-1916
(845) 294-5510
(845) 774-1650
Mailing address
53 W MAIN ST # 307, GOSHEN, NY 10924-1916
(845) 294-5510
(845) 774-1650
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00418635
—
NY
Enumeration date
10/01/2007
Last updated
02/01/2012
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