Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 241553 | NY |
NPI | 1063532034 |
---|---|
Provider Name | Dr. Rupal S Shah |
First Address | East Meadow, NY 11554-4325 |
Second Address | Hempstead, NY 11550-4445 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2007 |
Last Update Date | 10/07/2019 |