Individual
RUIY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
274 MADISON AVE RM 1501, NEW YORK, NY 10016-0701
(212) 203-1773
Mailing address
272 BLACKBERRY DR, STAMFORD, CT 06903-1238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
827430
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405418
NY
Other
Enumeration date
10/04/2023
Last updated
11/30/2023
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