Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane M Sopp, MD PC

Organization Gynecology Physician · NPI 1952397705

Shane M Sopp, MD PC is a Gynecology Physician in Syracuse, New York. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4900 Broad Rd Cgh Pob Ste 2V
Syracuse, NY 13215-2265
Phone: (315) 492-5005
Fax: (315) 492-5324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X

Record details

NPI number1952397705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Sopp — Owner · (315) 492-5005
NPI enumeratedSeptember 26, 2005
Last updated in NPPESFebruary 7, 2008
Mailing addressPo Box 2003, East Syracuse, NY 13057-4503

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