Individual
MICHELLE SHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1621 EASTCHESTER RD, BRONX, NY 10461-2604
(718) 405-8040
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(187) 920-4321
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
72559
CT
208000000X
Pediatrics Physician
Primary
MT218202
PA
Other
Enumeration date
06/07/2019
Last updated
07/09/2024
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