Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 003954 | NY |
Y | 222Z00000X | Podiatrist | 003954 | NY |
N | 213EP1101X | Primary Podiatric Medicine | 003954 | NY |
N | 2081S0010X | Sports Medicine | 003954 | NY |
N | 213ES0000X | Sports Medicine | 003954 | NY |
N | 213ES0131X | Foot Surgery | 003954 | NY |
NPI | 1033189667 |
---|---|
Provider Name | Dr. William James Mcshane |
First Address | Valley Stream, NY 11580-5707 |
Second Address | Valley Stream, NY 11580-5707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 10/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00903113 | (05) | NY |
T51280 | (02) | NY |