National Provider Identifier
Neil Frederick Shallish, M.D.
Neil Frederick Shallish, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 277-4341.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1568494755
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 07, 2006
- Last Updated
- July 08, 2007
Practice Location
- 209 W State St
- Ithaca, NY 14850-5429
Phone: (607) 277-4341
Mailing Address
- 120 Larchmont Dr
- Trumansburg, NY 14886-9718
Specialties
- Family Medicine Physician (207Q00000X)
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Biography
Neil Shallish, MD, is a family physician in Ithaca, New York, practicing at Cayuga Primary Care | Cayuga Park. He earned his medical degree from SUNY Upstate Medical University College of Medicine in 1979 and completed residency training at St. Joseph's Hospital and Health Center. (cayugahealth.org)
The practice where he sees patients is now part of the Cayuga Health network; Cayuga Health announced that Family Medicine Associates of Ithaca joined Cayuga Medical Associates in 2023 and continued as Cayuga Primary Care Family Medicine. (cayugahealth.org)
Full Record
- NPI
- 1568494755
- Entity Type
- Individual
- Last Name
- Shallish
- First Name
- Neil
- Middle Name
- Frederick
- Credential
- M.D.
- Mailing Street Address
- 120 Larchmont Dr
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9718
- Mailing Country
- US
- Mailing Phone
- (607) 387-5890
- Practice Street Address
- 209 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5429
- Practice Country
- US
- Practice Phone
- (607) 277-4341
- Enumeration Date
- July 07, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 00705660 (NY)