MEDICARE: DR. SHA-BARBARA ELAINE MCDANIEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	201497	NY

General Provider Information

NPI Number	:	1962581462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHA-BARBARA ELAINE MCDANIEL M.D.

Provider Business Mailing Address
First Line	:	225 W 35TH ST
Second Line	:	303
City	:	NEW YORK
State	:	NY
Zip	:	10001-1904
Country	:	US
Telephone Number	:	212-631-7900
Fax Number	:	212-736-6820

Provider Business Practice Location Address
First Line	:	225 W 35TH ST
Second Line	:	303
City	:	NEW YORK
State	:	NY
Zip	:	10001-1904
Country	:	US
Telephone Number	:	212-631-7900
Fax Number	:	212-736-6820

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	09/16/2022

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