Individual provider · Type 1 NPI

Nicholas Lee Shaughnessy, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1194570408 Active

Practice location

234 E 149th St Rm 445A
Bronx, NY 10451-5504

Call (718) 579-6011 Map

Mailing address

234 E 149th St # 2C2-445A
Bronx, NY 10451-5504

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194570408

Nicholas Lee Shaughnessy, MD's National Provider Identifier is 1194570408, issued on Apr 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Apr 22, 2024.