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DAVID SHACK AGPCNP-BC
NPI 1255889978
Nurse Practitioner - Adult Health in New York, NY

Active since September 12, 2016
75 MAIDEN LN, STE 1206, NEW YORK, NY 10038(212) 995-6495(212) 379-6486 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Shack Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID SHACK AGPCNP-BC (NPI 1255889978) is an individual adult health provider in New York, New York, licensed in New York (F307993) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1255889978
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDAVID SHACKCredential: AGPCNP-BC
Location Address75 MAIDEN LN, STE 1206New York, NY 10038-4810
Mailing Address75 Maiden Ln, Ste 1206New York, NY 10038-4810 · (212) 995-6495 · Fax (212) 379-6486
Phone(212) 995-6495
Fax(212) 379-6486
Sole ProprietorYes
Enumeration DateSeptember 12, 2016
Last NPPES UpdateApril 5, 2017
✔ NPI 1255889978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F307993
75 MAIDEN LN, New York, NY 10038
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. AMY I CHAMBERLAIN LCSW
Social Worker (Clinical)
75 MAIDEN LN
NEW YORK, NY 10038
New York County (646) 373-5652
ABIGAIL MCGUIRE
Speech-Language Pathologist
75 MAIDEN LN
NEW YORK, NY 10038
New York County (212) 477-6100
MS. ELLENE CARRUTH RN
Registered Nurse
75 MAIDEN LN, 7TH FLOOR
NEW YORK, NY 10038
New York County (212) 477-3600
COMPREHENSIVE PAIN MANAGEMENT-ANESTHESIA SERVICES, P.C.
Pain Medicine (Interventional Pain Medicine)
75 MAIDEN LN, SUITE 1206
NEW YORK, NY 10038
New York County (212) 995-6495
MR. LIONEL R SHOCKNESS LCSW
Social Worker (Clinical)
75 MAIDEN LN, SUITE 320
NEW YORK, NY 10038
New York County (212) 579-6294
DR. CHAIM Y. MANDELBAUM M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
75 MAIDEN LN, SUITE 1206
NEW YORK, NY 10038
New York County (212) 995-6495
MRS. PHILIPPA R HILL LCSW
Social Worker (Clinical)
75 MAIDEN LN, 218
NEW YORK, NY 10038
New York County (917) 923-3248
MICHELLE ANDOY DPT
Physical Therapist
75 MAIDEN LN
NEW YORK, NY 10038
New York County (212) 402-5430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Shack's NPI number?

The NPI number for David Shack is 1255889978. It was assigned to this individual provider in the NPPES registry on September 12, 2016.

Where is David Shack located?

David Shack practices at 75 Maiden Ln Ste 1206, New York, NY 10038. The listed phone number is (212) 995-6495.

What is David Shack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for David Shack was last updated on April 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.