Individual
SHANE MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 E 38TH ST, 11TH FLOOR, NEW YORK, NY 10016-2708
(212) 263-7250
(212) 263-1683
Mailing address
240 E 38TH ST, 11TH FLOOR, NEW YORK, NY 10016-2708
(212) 263-7250
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
217020
NY
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
217020
NY
Other
Enumeration date
09/26/2005
Last updated
12/29/2014
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