Individual
DR. SANJAY N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 MAPLE ST, MASSENA, NY 13662-1012
(315) 769-4656
(315) 769-4671
Mailing address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4200
(315) 769-4353
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
167327
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01368721
—
NY
Enumeration date
03/27/2006
Last updated
01/26/2015
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