Individual
SHANA NEUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-8868
Mailing address
541 E 20TH ST APT 1B, NEW YORK, NY 10010-7633
(917) 324-6449
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
313195
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YW92080Q
—
NY
Enumeration date
03/27/2017
Last updated
05/31/2023
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