Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | NY 141787-1 | NY |
NPI | 1023121928 |
---|---|
Provider Name | Dr. Binita R Shah |
First Address | New Hyde Park, NY 11040-1142 |
Second Address | Brooklyn, NY 11203-2056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |