Individual
DAN SHILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029
(212) 241-6500
Mailing address
1 GUSTAVE L. LEVY PLACE, MOUNT SINAI RADIOLOGY DEPARTMENT, AMIRA ISMAIL, NEW YERK, NY 10029
(212) 241-2436
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD16378
RI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
281812
NY
2085R0204X
Vascular & Interventional Radiology Physician
MD16378
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2012
Last updated
06/10/2021
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