Individual
SUSAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
807 UNION ST, WICKER WELLNESS CENTER, SCHENECTADY, NY 12308-3103
(518) 388-6794
Mailing address
807 UNION ST, WICKER WELLNESS CENTER, SCHENECTADY, NY 12308-3103
(518) 388-6794
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430450-1
NY
Other
Enumeration date
09/29/2009
Last updated
09/30/2013
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