Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas Lee Shaughnessy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194570408

Dr. Nicholas Lee Shaughnessy, MD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

234 E 149th St Rm 445A
Bronx, NY 10451-5504
Phone: (718) 579-6011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1194570408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

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