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

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1669806055

Dr. Shane Anthony Blackmore, MD is a Sports Medicine (Orthopaedic Surgery) Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 E 17th St Rm 1402
New York, NY 10003-3804
Phone: (212) 598-6509
Fax: (212) 598-7654
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Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence P89608 (NY)

Record details

NPI number1669806055
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 21, 2013
Last updated in NPPESAugust 21, 2013

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