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NPI Code Detail

MEDICARE: MS. DINA SHAH

MEDICARE: MS. DINA SHAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerF304478-1NY

General Provider Information

NPI Number : 1710164140
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DINA SHAH
Provider Business Mailing Address
First Line : 317 E 34TH ST
Second Line : SUITE 901
City : NEW YORK
State : NY
Zip : 10016-4974
Country : US
Telephone Number : 212-425-8000
Fax Number : 212-203-8885
Provider Business Practice Location Address
First Line : 22 W 21ST ST
Second Line : SUITE 1203
City : NEW YORK
State : NY
Zip : 10010-6904
Country : US
Telephone Number : 212-352-0549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 12/12/2014

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Directions to “ MS. DINA SHAH ” Practice Location

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