Provider Demographics
NPI:1386888253
Name:SHRIKHANDE, ALLYSON AUGUSTA (MD)
Entity type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:AUGUSTA
Last Name:SHRIKHANDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 E 41ST ST RM 2002
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6215
Mailing Address - Country:US
Mailing Address - Phone:646-481-4998
Mailing Address - Fax:
Practice Address - Street 1:18 E 41ST ST RM 2002
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6215
Practice Address - Country:US
Practice Address - Phone:646-481-4998
Practice Address - Fax:646-434-0755
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263950208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400083389Medicare PIN