Individual provider · Type 1 NPI

Shane M. Sopp, MD

Gynecology Physician · Syracuse, NY

NPI number 1497741243 Active

Practice location

4900 Broad Rd, Cgh Pob Suite 2V
Syracuse, NY 13215-2265

Call (315) 492-5005 Map

Fax (315) 492-5324

Mailing address

PO Box 2003
East Syracuse, NY 13057-4503

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400X141803 (NY)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1497741243

Shane M. Sopp, MD's National Provider Identifier is 1497741243, issued on Sep 26, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Syracuse, NY. The record was last updated on Jun 18, 2012.