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

Neil Frederick Shallish, MD

Individual provider Family Medicine Physician · NPI 1568494755

Neil Frederick Shallish, MD is a Family Medicine Physician in Ithaca, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

209 W State St
Ithaca, NY 14850-5429
Phone: (607) 277-4341
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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 143456 (NY)

Record details

NPI number1568494755
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 8, 2007
Mailing address120 Larchmont Dr, Trumansburg, NY 14886-9718

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