Provider Demographics
NPI:1326070053
Name:SHANIES, HARVEY M (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:M
Last Name:SHANIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:400 WESTAGE BUSINESS CTR DR
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2223
Mailing Address - Country:US
Mailing Address - Phone:845-279-5616
Mailing Address - Fax:845-279-5168
Practice Address - Street 1:400 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2223
Practice Address - Country:US
Practice Address - Phone:845-279-5616
Practice Address - Fax:845-279-5168
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120438207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01108098Medicaid
NY01108098Medicaid
NY081AY1Medicare ID - Type Unspecified