Individual
CAROLE LYNNE SHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
114 E 72ND ST, STE B, NEW YORK, NY 10021-4245
(212) 472-2890
(212) 472-1971
Mailing address
114 E 72ND ST, STE B, NEW YORK, NY 10021-4245
(212) 472-2890
(212) 472-1971
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
140666
NY
207N00000X
Dermatology Physician
25MA03729600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00471072
—
NY
01
—
133345147
UNITED HEALTHCARE
NY
01
—
P3600848
OXFORD FREEDOM
NY
Enumeration date
06/15/2005
Last updated
11/24/2010
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