Individual
SHA YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(203) 928-0600
Mailing address
1085 N MAIN ST, PROVIDENCE, RI 02904-5719
(401) 415-4200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
292089-1
NY
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
1027187
MA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
DO01566
RI
Other
Enumeration date
06/01/2015
Last updated
04/26/2026
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