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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750060752

Shane Gopaul is a Student in an Organized Health Care Education/Training Program in Johnson City, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

507 Main St
Johnson City, NY 13790-1810
Phone: (607) 763-6075
Fax: (607) 763-5234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1750060752
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address507 Main St, Johnson City, NY 13790-1810

Other providers in Johnson City