Organization
DR. BRUCE SHAFFER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE M SHAFFER D.P.M. (PODIATRIST)
(845) 278-8637
Entity
Organization
Contact information
Practice address
667 STONELEIGH AVE, SUITE 111, CARMEL, NY 10512-2454
(845) 278-8637
(845) 278-8695
Mailing address
667 STONELEIGH AVE, SUITE 111, CARMEL, NY 10512-2454
(845) 278-8637
(845) 278-8695
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N2987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00419452
—
NY
Enumeration date
11/30/2007
Last updated
11/30/2007
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