Provider Demographics
NPI:1245258243
Name:SHINDER, NEIL (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:
Last Name:SHINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 OLD NYACK TPKE STE 301
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2451
Mailing Address - Country:US
Mailing Address - Phone:845-623-9400
Mailing Address - Fax:845-623-9402
Practice Address - Street 1:55 OLD NYACK TURNPIKE
Practice Address - Street 2:STE 301
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954
Practice Address - Country:US
Practice Address - Phone:845-623-9400
Practice Address - Fax:845-623-9402
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215134-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist