Individual
AXAY RAMESH SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4555 47TH ST FL 2, WOODSIDE, NY 11377-5225
(718) 213-4787
Mailing address
4555 47TH ST FL 2, WOODSIDE, NY 11377-5225
(718) 213-4787
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053541-1
NY
183500000X
Pharmacist
28RI03301600
NJ
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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