Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 267003 | NY |
NPI | 1518266303 |
---|---|
Provider Name | Danielle Lauren O'shaughnessy |
First Address | Bay Shore, NY 11706-8441 |
Second Address | Bay Shore, NY 11706-8441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2011 |
Last Update Date | 02/12/2021 |