Individual
POONAM U. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
309 47TH ST, BROOKLYN, NY 11220-1111
(718) 492-2234
Mailing address
309 47TH ST, BROOKLYN, NY 11220-1111
(718) 492-2234
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055249
NY
Other
Enumeration date
09/01/2010
Last updated
12/15/2022
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