Individual
ARVIND P SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17 AVENUE D, NEW YORK, NY 10009-7844
(212) 674-1588
(212) 674-1588
Mailing address
514 HIGH RD, RIVERVALE, NJ 07675-6121
(201) 953-4737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00759384
—
NY
Enumeration date
02/23/2007
Last updated
07/08/2007
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