MEDICARE: DR. DANA SHANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	168406	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245296458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA SHANI M.D.

Provider Business Mailing Address
First Line	:	178 EAST 85 STREET
Second Line	:	4 FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10028-2119
Country	:	US
Telephone Number	:	212-434-3630
Fax Number	:	212-434-3639

Provider Business Practice Location Address
First Line	:	178 EAST 85 STREET
Second Line	:	4 FLOOR
City	:	NEW YORK CITY
State	:	NY
Zip	:	10028-2119
Country	:	US
Telephone Number	:	212-434-3630
Fax Number	:	212-434-3639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	06/18/2013

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