David Shack, AGPCNP-BC in New York, NY

David Shack, AGPCNP-BC is a Nurse Practitioner - Adult Health based in New York, New York. David Shack is licensed to practice in New York (license number F307993) and his current practice location is 75 Maiden Ln, Ste 1206, New York, New York. He can be reached at his office (for appointments etc.) via phone at (212) 995-6495.

NPI number for David Shack is 1255889978 and his current mailing address is 75 Maiden Ln, Ste 1206, New York, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255889978.

Contact Information

	David Shack, AGPCNP-BC
	75 Maiden Ln, Ste 1206, New York, NY 10038-4810
	(212) 995-6495
	(212) 379-6486

Map and Direction

Provider's Profile

Full Name	David Shack
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	75 Maiden Ln, New York, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1255889978
Provider Enumeration Date: 09/12/2016
Last Update Date: 04/05/2017

Medical Identifiers

Medical identifiers for David Shack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255889978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F307993 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Shack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David Shack, AGPCNP-BC 75 Maiden Ln, Ste 1206, New York, NY 10038-4810 Ph: (212) 995-6495	David Shack, AGPCNP-BC 75 Maiden Ln, Ste 1206, New York, NY 10038-4810 Ph: (212) 995-6495

Reviews and Comments

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David Shack, AGPCNP-BC - Nurse Practitioner in New York, NY