National Provider Identifier
Joel Christopher Shackson, MD
Joel Christopher Shackson, MD is listed in the NPPES registry with a primary specialty of Hospice and Palliative Medicine (Internal Medicine) Physician in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1528555711
- Provider Type
- Individual
- Primary Specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Enumeration Date
- April 13, 2018
- Last Updated
- July 25, 2024
Practice Location
- Elm And Carlton St
- Buffalo, NY 14263
Phone: (716) 845-2300
Mailing Address
- Elm And Carlton St
- Buffalo, NY 14263-0001
Specialties
- Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X)
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1528555711
- Entity Type
- Individual
- Last Name
- Shackson
- First Name
- Joel
- Middle Name
- Christopher
- Credential
- MD
- Mailing Street Address
- Elm And Carlton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263-0001
- Mailing Country
- US
- Mailing Phone
- (716) 845-2300
- Practice Street Address
- Elm And Carlton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Enumeration Date
- April 13, 2018
- Last Updated
- July 25, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X), Internal Medicine Physician (207R00000X)