Individual
EDWARD MCSHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
298A CARROLL ST., BROOKLYN, NY 11231
(347) 486-2674
Mailing address
298A CARROLL ST., BROOKLYN, NY 11231
(347) 486-2674
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017172-1
NY
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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