Individual
RIDDHISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 FIRST ST, WALDEN, NY 12586-1605
(845) 662-2216
Mailing address
42 FIRST ST, WALDEN, NY 12586-1605
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
792386
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405525
NY
Other
Enumeration date
04/15/2024
Last updated
04/02/2026
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