Individual
SIRI SHASTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6639
Mailing address
555 W 57TH ST STE 5-25, NEW YORK, NY 10019-2925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
294327
NY
Other
Enumeration date
04/06/2016
Last updated
06/21/2023
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