Individual provider · Type 1 NPI

Shane Ashford Endicott, MD

Diagnostic Radiology Physician · East Meadow, NY

NPI number 1962021774 Active

Practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Call (516) 572-6501 Map

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XME173775 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1962021774

Shane Ashford Endicott, MD's National Provider Identifier is 1962021774, issued on Apr 11, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in East Meadow, NY. The record was last updated on Mar 16, 2026.