Organization
NYS PHYSICIAN ASSISTANT CONSULTING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAHYA SHAH PA (PHYSICIAN ASSISTANT)
(631) 831-2313
Entity
Organization
Contact information
Practice address
121 CISNEY AVE, FLORAL PARK, NY 11001-3214
(631) 831-2313
Mailing address
121 CISNEY AVE, FLORAL PARK, NY 11001-3214
(631) 831-2313
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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