| NPI | 1598508186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEP N SHAH Co Owner 518-330-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251E00000X Home Health | |
| 261QP1100X Clinic/Center Podiatric | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-09-18 |