Individual
KOKILA B SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 JERICHO TPKE, SYOSSET, NY 11791-4532
(516) 682-0700
(516) 682-0701
Mailing address
175 JERICHO TPKE, SYOSSET, NY 11791-4532
(516) 682-0700
(516) 682-0701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
011022
NY
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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