Shane M Sopp, Md Pc

LBN: Shane M Sopp, Md Pc
Shane M Sopp, Md Pc is an health care organization with primary practice located at 4900 Broad Rd Cgh Pob Suite 2V, Syracuse NY 13215-2265. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Shane M Sopp, Md Pc can be contacted via phone (315) 492-5005, or through Sopp, Shane M via phone (315) 492-5005.

Contact Information

Primary practice address
4900 Broad Rd Cgh Pob Suite 2V Syracuse NY 13215-2265
Phone: (315) 492-5005
Fax: (315) 492-5324
Website:
Map and Directions
Authorized official contact:
Name: Sopp, Shane M Doctor of Medicine (MD)
Phone: (315) 492-5005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X

Profile Details

NPI number 1952397705
LBN Legal business name Shane M Sopp, Md Pc
DBA Doing business as
Authorized official Sopp, Shane M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2005
Last updated Feb 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952397705 NPPES
New York MEDICAID 01992896

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