# ENDOCRINE TECHNOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KUMAR SHAH, M.D.
- **Other names:** Kumar Shah, M.D.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275992034
- **Legal business name:** KUMAR SHAH, M.D.
- **Authorized official:** DR. KUMARPAL AMBALAL SHAH M.D. (PRESIDENT)
- **Authorized official phone:** (347) 302-3107

## Contact information

- **Practice address:** 230 HILTON AVE, SUITE 17, HEMPSTEAD, NY 11550-8115
- **Practice address phone:** (347) 302-3107
- **Practice address fax:** (718) 222-1350
- **Mailing address:** 230 HILTON AVE, SUITE 17, HEMPSTEAD, NY 11550-8180
- **Mailing address phone:** (347) 302-3107
- **Mailing address fax:** (718) 222-1350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 139486 | NY | Yes |
| 261QH0100X | Health Service Clinic/Center | 139486 | NY | — |

## Other

- **Enumeration date:** 02/22/2016
- **Last updated:** 02/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00770576 | — | NY |
| 01 | — | 011549885 | MAGNACARE | NY |
| 01 | — | 100901000078 | FIDELIS | NY |
| 01 | — | 1093995524 | GHI | NY |
| 01 | — | 112009 | EMPIRE | NY |
| 01 | — | 139486 | HIP | NY |
| 01 | — | 193525 | ELDERPLAN | NY |
| 01 | — | 340290101 | HEALTH FIRST | NY |
| 01 | — | 67A031 | BLUESHIELD | NY |
| 01 | — | 996181 | NEIGHOURHOOD PLAN | NY |
| 01 | — | N214201 | WELLCARE | NY |
| 01 | — | P00106364 | MEDICARE RAILROAD | NY |
| 01 | — | P2090111 | OXFORD | NY |