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1386048148
SHYAM SHAH
BROOKLYN, NY
NPI
1386048148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018114)
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
-- SHYAM SHAH PA-C
3201 KINGS HWY
BROOKLYN, NY 11234-2625
Phone number: 718-252-3000
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Mailing Address
-- SHYAM SHAH PA-C
22 STEWART ST
PLAINVIEW, NY 11803-5327
Phone number: 516-554-3953
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