Organization
MAYANK SHAH PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYANK PRATAPRAI SHAH (PRESIDENT)
(845) 986-8670
Entity
Organization
Contact information
Practice address
200 RONALD REAGAN BLVD, WARWICK, NY 10990-4107
(845) 986-8670
(845) 987-1348
Mailing address
200 RONALD REAGAN BLVD, WARWICK, NY 10990-4107
(845) 986-8670
(845) 987-1348
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
171978
NY
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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