Organization
SHAH PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILAY SHAH MD (OWNER)
(914) 341-2702
Entity
Organization
Contact information
Practice address
352 7TH AVENUE, UNIT 1503, NEW YORK, NY 10001
(914) 341-2702
Mailing address
550 W 54TH ST APT 30C, NEW YORK, NY 10019-6056
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119551
LICENSE
NY
Enumeration date
05/29/2020
Last updated
05/29/2020
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