Individual
SHIVANI THAKORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704342825
MI
163W00000X
Registered Nurse
475334
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
885140
NY
Other
Enumeration date
07/12/2021
Last updated
12/19/2024
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