Individual
FATBARDHA SHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3 FIELDSTONE DR, UNIT 90, HARTSDALE, NY 10530-1510
(347) 249-8521
Mailing address
3 FIELDSTONE DR, UNIT 90, HARTSDALE, NY 10530-1510
(347) 249-8521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019945-1
NY
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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