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Individual

ARCHAN PRADIP SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.P.T.

Contact information

Practice address
3514 MERMAID AVE, SUITE 003, BROOKLYN, NY 11224-1508
(718) 996-1100
(718) 676-9511
Mailing address
875 MONTGOMERY ST, JERSEY CITY, NJ 07306-5907
(813) 774-0058
(718) 676-9511

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032358
NY

Other

Enumeration date
04/23/2010
Last updated
04/23/2010
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