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1194570408
NICHOLAS LEE SHAUGHNESSY
BRONX, NY
NPI
1194570408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-19
Last Update Date
2024-04-22
Business Address
Dr. NICHOLAS LEE SHAUGHNESSY MD
234 E 149TH ST RM 445A
BRONX, NY 10451-5504
Phone number: 718-579-6011
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Mailing Address
Dr. NICHOLAS LEE SHAUGHNESSY MD
234 E 149TH ST # 2C2-445A
BRONX, NY 10451-5504
Phone number: 718-579-6011
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