Individual
MAYANK SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 E 37TH ST RM 319, NEW YORK, NY 10016-3256
(516) 385-1892
Mailing address
345 E 37TH ST RM 319, NEW YORK, NY 10016-3256
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
249523
NY
2080P0203X
Pediatric Critical Care Medicine Physician
002030
NY
2080P0214X
Pediatric Pulmonology Physician
Primary
002030
NY
2080S0012X
Pediatric Sleep Medicine Physician
249523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02514730
—
NY
Enumeration date
12/16/2006
Last updated
09/04/2024
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