Individual
DR. CHITRA MANGALPADY SHENOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8481
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8481
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
141009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05G021
MEDICARE PROVIDER#
NY
05
—
PROVIDER# 00716427
—
NY
Enumeration date
09/24/2006
Last updated
12/23/2013
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