Christopher M Shackles, D.O., MPH
Radiology, Vascular & Interventional Radiology in Stony Brook, NY. Individual provider (NPI-1).
NPI number1124448741
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1124448741
- Entity type
- Individual (NPI-1)
- Name
- Christopher M Shackles
- Credential
- D.O., MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2014
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 306058-01 | NY | Yes |
| 208600000X | Surgery | 946244 | NY |
Practice location
Stony Brook University Hospital101 Nichols Road
Stony Brook, NY 11794-0001
Phone 631-444-1791 · Fax 631-444-7689
Mailing address
101 Nicolls RdStony Brook, NY 11794-0001
Phone 631-444-5400
Other practice locations
718 Teaneck Rd
Teaneck, NJ 07666-4245
Teaneck, NJ 07666-4245
Phone 201-833-3000
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