Individual
DR. IAN MICHEAL AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NYU LANGONE MEDICAL CENTER, 550 1ST AVE, NEW YORK, NY 10010
(212) 263-5250
Mailing address
46 COTTAGE ST APT C, PORT CHESTER, NY 10573-5174
(914) 255-0706
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
274040-1
NY
Other
Enumeration date
04/30/2012
Last updated
07/02/2018
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