Individual
CHETNA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100TH ST AND MADISON AVE, NEW YORK, NY 10029
(212) 241-0101
(212) 426-5083
Mailing address
BOX 1149, ONE GUSTAVE LEVY PLACE, NEW YORK, NY 10029
(212) 241-0101
(212) 426-5083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009751
NY
Other
Enumeration date
03/23/2006
Last updated
05/28/2008
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