Individual
SAMANTHA G SHANKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10210 66TH RD, APT 3D, FOREST HILLS, NY 11375-2000
(347) 575-7690
Mailing address
2700 WESTCHESTER AVE, FL 2, PURCHASE, NY 10577-2547
(914) 607-5730
(914) 457-1195
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
276595-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
276595-1
NY
Other
Enumeration date
06/18/2013
Last updated
03/28/2018
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