Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 293064 | NY |
NPI | 1558788935 |
---|---|
Provider Name | Mrs. Trisha Shah |
First Address | Hartsdale, NY 10530-2319 |
Second Address | Hartsdale, NY 10530-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2014 |
Last Update Date | 29/01/2019 |