Search › New York › Adult Health Nurse Practitioner
David Shack, AGPCNP-BC
NPI 1255889978 · on the registry since 2016 · sole proprietor
Practice
- Address
- 75 Maiden Ln
Ste 1206
New York, NY 10038 - Phone
- (212) 995-6495
- Fax
- (212) 379-6486
- Organisation at this address
- Net 30, Inc.
Net 30, Inc.
Mb Clinicians
I&S Medical Supplies, Inc.
Revolve Physical Therapy PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- Adult Health Nurse Practitioner
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York