Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 282816-1 | NY |
N | 111NI0900X | Internist | 282816-1 | NY |
Y | 207RC0200X | Critical Care Medicine | 282816-1 | NY |
N | 207RP1001X | Pulmonary Disease | 282816-1 | NY |
NPI | 1043553985 |
---|---|
Provider Name | Stanton Shek |
First Address | New York, NY 10019-1147 |
Second Address | New Hyde Park, NY 11040-1402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2013 |
Last Update Date | 07/06/2019 |