Individual
DR. DARYL ISHAQ SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 1ST AVE, NBV 20N26, NEW YORK, NY 10016-9196
(212) 562-3697
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
57.006050
OH
2084P0802X
Addiction Psychiatry Physician
Primary
244848
NY
Other
Enumeration date
04/16/2007
Last updated
05/09/2008
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