Individual
LEE MERRICK SHANGOLD
Active
Individual
LEE MERRICK SHANGOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
172268-1
NY
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
172268
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502405
—
NY
01
—
P01210116
RAILROAD MEDICARE PIN
NY
Enumeration date
11/09/2005
Last updated
01/23/2019
Update your record
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