Individual
DR. LEO J SHEA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
201 E 28TH ST, #1D, NEW YORK, NY 10016-8538
(212) 951-4545
(212) 842-0731
Mailing address
151 E 31ST ST, #22C, NEW YORK, NY 10016-9500
(212) 951-4545
(212) 842-0731
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0136581
NY
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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