Individual
CARLY ROSE SHEAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
965 GLOUCESTER CT, WESTBURY, NY 11590-5301
(516) 205-8337
Mailing address
965 GLOUCESTER CT, WESTBURY, NY 11590-5301
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
331632
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
07/16/2024
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