Individual
SHAKIRA SHANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6080 JERICHO TPKE, COMMACK, NY 11725-2850
(631) 364-9119
(631) 486-8361
Mailing address
600 E 233RD ST, BRONX, NY 10466-2604
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
295250-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400229898
MEDICARE
—
Enumeration date
05/14/2014
Last updated
02/21/2020
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