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

Individual provider Surgical Physician Assistant · NPI 1134906357

Madison Shaffer, PHYSICIANASSISTANT is a Surgical Physician Assistant in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

241 N Rd
Poughkeepsie, NY 12601-1154
Phone: (914) 909-9018
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Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 031248 (NY)

Record details

NPI number1134906357
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 11, 2023
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address100 Woods Rd, Valhalla, NY 10595-1530

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