SHANE MARIO ANDRE DRAKES

BRONX, NY
NPI1184920464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Enumeration Date2011-02-02
Last Update Date2022-07-21
Business Address
-- SHANE MARIO ANDRE DRAKES M.D
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
Mailing Address
-- SHANE MARIO ANDRE DRAKES M.D
3450 WAYNE AVE APARTMENT 16K
BRONX, NY 10467-2510
Phone number: 347-207-7001