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Individual
NICKY S SHAH
Active
Individual
NICKY S SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03904574
—
NY
01
—
1275948002
NPI
NY
Enumeration date
07/01/2014
Last updated
08/24/2020
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