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Individual

DR. STUART DANIEL SHANLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
145 E 15TH ST APT 5L, NEW YORK, NY 10003-3536
(845) 789-5665
Mailing address
145 E 15TH ST APT 5L, NEW YORK, NY 10003-3536
(845) 789-5665

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
180782
NY
207N00000X
Dermatology Physician
MD2005-0764
NM
207N00000X
Dermatology Physician
ME96641
FL
207ND0101X
MOHS-Micrographic Surgery Physician
180782
NY
207ND0101X
MOHS-Micrographic Surgery Physician
MD2005-0764
NM
207ND0101X
MOHS-Micrographic Surgery Physician
ME96641
FL
207NS0135X
Procedural Dermatology Physician
180782
NY
207NS0135X
Procedural Dermatology Physician
MD2005-0764
NM
207NS0135X
Procedural Dermatology Physician
ME96641
FL

Other

Enumeration date
04/28/2020
Last updated
03/29/2024
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