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1184920464
SHANE MARIO ANDRE DRAKES
BRONX, NY
NPI
1184920464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2011-02-02
Last Update Date
2022-07-21
Business Address
-- SHANE MARIO ANDRE DRAKES M.D
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
-- SHANE MARIO ANDRE DRAKES M.D
3450 WAYNE AVE APARTMENT 16K
BRONX, NY 10467-2510
Phone number: 347-207-7001
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