Individual
SHACHI DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
328 E 75TH ST OFC 4, NEW YORK, NY 10021-3317
(212) 772-3722
Mailing address
328 E 75TH ST, NEW YORK, NY 10021-3317
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
338341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338341
NY LICENSE
NY
Enumeration date
04/19/2021
Last updated
08/25/2025
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