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Organization

PULMONARY SLEEP DIAGNOSTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAYANK SHUKLA M.D. (PRESIDENT)
(516) 395-2127
Entity
Organization

Contact information

Practice address
32 SCHOOLHOUSE LN, ROSLYN HEIGHTS, NY 11577-2820
(516) 395-2126
Mailing address
32 SCHOOLHOUSE LN, ROSLYN HEIGHTS, NY 11577-2820
(516) 395-2126

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2080S0012X
Pediatric Sleep Medicine Physician

Other

Enumeration date
11/27/2009
Last updated
12/29/2020
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