Organization
DHARA SHAH, MENTAL HEALTH COUNSELING P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHARA SHAH (OWNER)
(973) 870-1972
Entity
Organization
Contact information
Practice address
110 N OCEAN AVE, PATCHOGUE, NY 11772-2015
(973) 870-1972
Mailing address
5 BROWN PL, RONKONKOMA, NY 11779-5254
(973) 870-1972
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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