Amie Shah

NPI #1912323098 in Holbrook, New York

Provider Information

NPI Number: 1912323098
Entity Type: Individual
Name: Amie Shah
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Mar 12, 2014
Last Updated: Mar 17, 2018

Practice Location

Address: 315 MAIN ST STE 315-I
City: Holbrook
State: New York
ZIP Code: 11741-1524
Phone: (267) 210-1847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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