Organization
EVERGREEN EAR, NOSE & THROAT SURGERY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEFALI SHAH M.D. (PRESIDENT)
(516) 431-0700
Entity
Organization
Contact information
Practice address
728 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-0700
(516) 706-0622
Mailing address
34 FARM LN, GREAT NECK, NY 11020-1314
(516) 581-5099
(516) 706-0622
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/18/2006
Last updated
04/13/2016
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