Organization
PAK PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADIA RIZVI SHAH DPM (PRESIDENT)
(917) 613-1629
Entity
Organization
Contact information
Practice address
8710 37TH AVE, SUITE C, JACKSON HEIGHTS, NY 11372-7704
(718) 507-8675
(718) 775-3150
Mailing address
8710 37TH AVE, SUITE C, JACKSON HEIGHTS, NY 11372-7704
(718) 507-8675
(718) 775-3150
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006446
NY
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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