Individual
SHANE M SOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 BROAD RD, CGH POB SUITE 2V, SYRACUSE, NY 13215-2265
(315) 492-5005
(315) 492-5324
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 446-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
141803
NY
Other
Enumeration date
09/26/2005
Last updated
06/18/2012
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