Individual
DR. CHARLOTTE SHANDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS, NEW YORK, NY 10032-1559
(221) 304-7297
(212) 544-1974
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(221) 304-7297
(212) 544-1974
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
210265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902923
—
NY
Enumeration date
03/31/2006
Last updated
07/08/2007
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