DR. DARYL ISHAQ SHORTER M.D. NPI 1164647202

NPI Information

  • NPI: 1164647202
  • Provider Name: DR. DARYL ISHAQ SHORTER, M.D.
  • Classification: Psychiatry & Neurology - 2084P0802X
  • Specialization: Addiction Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 462 1ST AVE
    NBV 20N26
    NEW YORK, NY
    ZIP 10016
  • Phone: (212) 562-3697

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NPI Details

DR. Daryl Ishaq Shorter, M.D. is an addiction psychiatry psychiatry neurology in New York, NY. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DR. Daryl Ishaq Shorter, M.D. NPI is 1164647202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

462 1ST AVE
NBV 20N26
NEW YORK, NY
ZIP 10016-196
Phone: (212) 562-3697

The NPI 1164647202 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 5/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry57.006050OHIONo
22084P0802XPsychiatry & NeurologyAddiction Psychiatry244848NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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