Individual
PUNIK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-5067
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB11790100
NJ
207P00000X
Emergency Medicine Physician
Primary
323642
NY
Other
Enumeration date
05/09/2020
Last updated
12/10/2024
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