Individual
DR. SHANE ROBERT THORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 FITCH ST STE 203, ELMIRA, NY 14905-1634
(607) 734-2695
(607) 734-2917
Mailing address
600 IVY ST STE 206, ELMIRA, NY 14905-1627
(607) 271-2050
(607) 271-2071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
312491
NY
Other
Enumeration date
02/23/2018
Last updated
06/03/2024
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