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Individual

DANINE MCSHANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
29 JONES AVENUE - CHATHAM MEDICAL BLDG, CHATHAM INTERNAL MEDICINE, CHATHAM, NY 12037-1136
(518) 392-8600
(518) 392-8601
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
306914
NY
363LA2200X
Adult Health Nurse Practitioner
306914
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03884599
NY
Enumeration date
06/30/2014
Last updated
03/17/2018
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