Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Shack, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1255889978

David Shack, AGPCNP-BC is an Adult Health Nurse Practitioner in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

75 Maiden Ln Ste 1206
New York, NY 10038-4810
Phone: (212) 995-6495
Fax: (212) 379-6486
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F307993 (NY)

Record details

NPI number1255889978
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorYes
NPI enumeratedSeptember 12, 2016
Last updated in NPPESApril 5, 2017

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