ROGER B SHAMBO, MD, LLC
Marriage and Family Therapists at State Route 12, Copenhagen, NY

License number
New York 165521
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. ROGER B SHAMBO MD
Title: OWNER
Phone: (315) 688-2305
Address
Address
9732 State Route 12, Copenhagen, NY 13626
National Provider ID: 1215133491
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Roger B. Shambo, M.D., LLC

Copenhagen, NY 13626

Industry:
Medical Doctor's Office
Physician Assistants:
Roger Shambo (Family Practitioner, Medical Doctor, Owner, Principal),Julie H. Sawyer (Office Manager),Laurel J. Shambo (Physician Assistant)

ROGER B. SHAMBO, M.D., LLC

PO Box 26, Copenhagen, NY 13626

Registration:
Sep 28, 2004
State ID:
3107063
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

Marriage and Family Therapists licenses in New York


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