Individual
JYOTI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151STREET,89TH AVENUE, JAMAICA, NY 11432
(718) 558-2585
Mailing address
350 MOTOR PKWY STE 103, HAUPPAUGE, NY 11788-5122
(631) 951-4644
(631) 951-3850
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
169615
NY
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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