| Richard Shanin Dpm Pc | |
|
53 W Main St, Pob 307, Goshen, NY 10924-1916 | |
| (845) 294-5510 | |
| (845) 774-1650 |
| Full Name | Richard Shanin Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 53 W Main St, Goshen, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235326554 | NPI | - | NPPES |
| 00418635 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard D Shanin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740268374 PECOS PAC ID: 3971778267 Enrollment ID: I20111215000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Shanin Dpm Pc 53 W Main St # 307, Goshen, NY 10924-1916 Ph: (845) 294-5510 | Richard Shanin Dpm Pc 53 W Main St, Pob 307, Goshen, NY 10924-1916 Ph: (845) 294-5510 |
Sharon Hubert Valencia, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 30 Matthews St, Ste 114, Goshen, NY 10924 Phone: 845-294-8623 Fax: 845-294-8623 | |
Sharon H Valencia Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 30 Matthews St, Suite 114, Goshen, NY 10924 Phone: 845-294-8623 |