Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | L-249031 | MA |
NPI | 1013111509 |
---|---|
Provider Name | Shane Volney |
First Address | New York, NY 10017-6308 |
Second Address | New York, NY 10017-6308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 05/10/2021 |