| Organization Name: | DAVID SHANSKY |
| NPI Number: | 1821279506 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID SHANSKY (DR./OWNER) |
| Mailing Address: | 768 Roosevelt Ave Carteret |
| State: | NJ US |
| Postal Code: | 070082308 |
| Phone Number: | 7325418855 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2007 |
| NPI Last Update Date: | 11/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 25MD00117200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |