Individual
DYLAN SHACKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NRP
Contact information
Practice address
3 HOOK RD, RHINEBECK, NY 12572-1145
(845) 876-0448
(845) 876-0448
Mailing address
120 HUNNS LAKE RD, STANFORDVILLE, NY 12581-5510
(845) 430-7905
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
490737
NY
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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