Individual
CHETAN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 LAKEVILLE RD STE 102, NEW HYDE PARK, NY 11042-1102
(516) 352-2337
(516) 775-0595
Mailing address
3 MACKAY WAY, ROSLYN, NY 11576-2175
(516) 484-7399
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039243
NY
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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