Individual
ASHKIN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-4406
(631) 444-2990
Mailing address
2496 MERMAID AVE, WANTAGH, NY 11793-4406
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405087
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2022
Last updated
07/26/2023
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