JITENDRA A SHAH

PATCHOGUE, NY
NPI1487727996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  124768-1)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Dr. JITENDRA A SHAH M.D.
504 MEDFORD AVE
PATCHOGUE, NY 11772-1321
Phone number: 631-475-4646
Mailing Address
Dr. JITENDRA A SHAH M.D.
504 MEDFORD AVE
PATCHOGUE, NY 11772-1321
Phone number: 631-475-4646
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MAIN STREET PRIMARY MEDICINE