Individual
DR. MATTHEW SHANE DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 75TH ST OFC 1A, NEW YORK, NY 10021-2816
(212) 744-1100
(646) 688-5125
Mailing address
111 E 75TH ST OFC 1A, NEW YORK, NY 10021-2816
(212) 744-1100
(877) 732-3203
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
225166
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225166
LIC
NY
01
—
BD7909875
DEA
—
Enumeration date
09/13/2006
Last updated
07/16/2024
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