Individual
DR. HARESH I SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
157 S 4TH AVE, MOUNT VERNON, NY 10550-3106
(914) 664-5342
Mailing address
11033 64TH AVE, FOREST HILLS, NY 11375-1428
(718) 275-3049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036630
NY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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