Organization
1561 WESTCHESTER AVENUE MEDICAL OFFICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH H SHAH M.D. (OWNER)
(718) 842-8900
Entity
Organization
Contact information
Practice address
1561 WESTCHESTER AVE, BRONX, NY 10472-2912
(718) 842-8900
(718) 589-7952
Mailing address
1561 WESTCHESTER AVE, BRONX, NY 10472-2912
(718) 842-8900
(718) 589-7952
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
154855
NY
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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