Organization
5 BORO PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIA SHAH (OWNER)
(917) 613-1629
Entity
Organization
Contact information
Practice address
531 TARGEE ST, STATEN ISLAND, NY 10304-3501
(646) 837-5448
(718) 775-3150
Mailing address
1578 WILLIAMSBRIDGE RD APT 3A, BRONX, NY 10461-6268
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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