Individual
CHARULATA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BOX 158 ROUTE 17-M, NEW HAMPTON, NY 10958
(845) 374-3171
Mailing address
16 FORTUNE RD E, MIDDLETOWN, NY 10941-1633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
173555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173555
—
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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