Roger B Shambo, MD, LLC
Roger B Shambo, MD, LLC is a Family Medicine Physician in Copenhagen, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9732 State Route 12Copenhagen, NY 13626-0026
Phone: (315) 688-2305
Fax: (315) 688-2139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 165521 (NY) |
|---|
Record details
| NPI number | 1215133491 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Roger Shambo — Owner · (315) 688-2305 |
| NPI enumerated | June 25, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 9732 State Route 12, Po Box 26, Copenhagen, NY 13626-0026 |
Other providers in Copenhagen
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Norman Bruce Scott, DO
9732 State Route 12, Copenhagen, NY 13626-2906 · (315) 688-2305