Provider Demographics
NPI:1326287921
Name:DAYAL, SHIVANI (PMHNP)
Entity Type:Individual
Prefix:MISS
First Name:SHIVANI
Middle Name:
Last Name:DAYAL
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 EAST 45TH STREET
Mailing Address - Street 2:NEW PROVIDENCE WOMEN'S SHELTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-661-8934
Mailing Address - Fax:212-661-9158
Practice Address - Street 1:225 EAST 45TH STREET
Practice Address - Street 2:NEW PROVIDENCE WOMEN'S SHELTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-661-8934
Practice Address - Fax:212-661-9158
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401155363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health