Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 006094 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | N006094 | NY |
NPI | 1033157581 |
---|---|
Provider Name | Ms. Aditi Shastri |
First Address | New York, NY 10017-9287 |
Second Address | New York, NY 10017-9287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 05/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V07928 | (02) | NY |