# NEW AGE MEDICAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609142926
- **Authorized official:** DR. ARVIND R SHAH MD (PRESIDENT)
- **Authorized official phone:** (718) 263-2208

## Contact information

- **Practice address:** 11120 QUEENS BLVD, FOREST HILLS, NY 11375-6303
- **Practice address phone:** (718) 263-2208
- **Practice address fax:** (718) 263-3442
- **Mailing address:** 11120 QUEENS BLVD, FOREST HILLS, NY 11375-6303
- **Mailing address phone:** (718) 263-2208
- **Mailing address fax:** (718) 263-3442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 133221 | NY | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 03/30/2012