Shane Blackmore, MD

NPI 1669806055 · on the registry since 2013 · sole proprietor

Practice

Address: 301 E 17th St
Room 1402
New York, NY 10003
Phone: (212) 598-6509
Fax: (212) 598-7654
Organisation at this address: Kenneth A Egol
New York University
New York University
New York University
New York University
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 218

Registry record

Primary taxonomy: 207XX0005X
207XX0005X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-08-21

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