Jyoti M Shah Physician P C

NPI #1114264132 in Hollis, New York

Provider Information

NPI Number: 1114264132
Entity Type: Organization
Organization Name: Jyoti M Shah Physician P C
Primary Specialty: Anesthesiology
Enumeration Date: Jan 10, 2013
Last Updated: Jan 10, 2013

Practice Location

Address: 18811 HILLSIDE AVE
City: Hollis
State: New York
ZIP Code: 11423-1935
Phone: (718) 264-6703

Authorized Official

Name: JYOTI M SHAH, M.D.
Title: OWNER
Phone: (516) 410-4792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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