Bijal Shah Modi, PA C

NPI #1518157445 in New York, New York

Provider Information

NPI Number: 1518157445
Entity Type: Individual
Name: Bijal Shah Modi, PA C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology - Pediatric Urology
Credential: PA C
Enumeration Date: Jul 26, 2007
Last Updated: Apr 7, 2009

Practice Location

Address: 381 PARK AVE S
Address 2: SUITE 1020
City: New York
State: New York
ZIP Code: 10016-8806
Phone: (212) 260-6078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology - Pediatric Urology — Pediatric Urology	2088P0231X	Primary

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