Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0122X | Plastic and Reconstructive Surgery | 25MA10236700 | NJ |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 288544 | NY |
NPI | 1043472368 |
---|---|
Provider Name | Nilay R Shah |
First Address | New York, NY 10016-0358 |
Second Address | New York, NY 10016-0358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 17/03/2018 |