Individual
SHAKIR MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 CREIGHTON ST, APT. 1, PROVIDENCE, RI 02906-1518
(914) 299-3030
Mailing address
23 CREIGHTON ST, APT. 1, PROVIDENCE, RI 02906-1518
(914) 299-3030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
296991
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2015
Last updated
09/16/2022
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