Individual
SHITAL SHETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
609 FULTON AVE, HEMPSTEAD, NY 11550-4540
(516) 489-8888
(516) 489-6262
Mailing address
609 FULTON AVE, HEMPSTEAD, NY 11550-4540
(516) 489-8888
(516) 489-6262
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
233607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02734458
—
NY
Enumeration date
05/15/2006
Last updated
12/03/2012
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