Organization
SUNRISE BLVD MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD H MCSHANE (M.D)
(718) 963-0276
Entity
Organization
Contact information
Practice address
601 W 177TH ST, NEW YORK, NY 10033-7152
(718) 963-0276
Mailing address
601 W 177TH ST, NEW YORK, NY 10033-7152
(718) 963-0276
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/02/2012
Last updated
09/10/2012
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