Individual
AYAZ A SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3722 88TH ST, 2ND FLOOR, JACKSON HEIGHTS, NY 11372-7631
(718) 507-9878
(718) 507-9894
Mailing address
50 SENECA LN, BORDENTOWN, NJ 08505-4448
(609) 298-7141
(609) 298-2848
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
101484
NY
111N00000X
Chiropractor
38MC00603700
NJ
111NN0400X
Neurology Chiropractor
010484
NY
111NR0400X
Rehabilitation Chiropractor
010484
NY
Other
Enumeration date
08/15/2006
Last updated
12/31/2007
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