Shah, Ayyaz M
Shah, Ayyaz M is an individual health care provider with primary practice located at 200 Front St , Vestal NY 13850-1559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Shah, Ayyaz M can be contacted via phone (607) 658-1003.Contact Information
Primary practice address
200 Front St
Vestal NY 13850-1559
Phone: (607) 658-1003
Fax: (607) 658-1006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS10163 | Florida |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 203641 | New York |
Profile Details
| NPI number | 1619167673 |
|---|---|
| LBN Legal business name | Shah, Ayyaz M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Oct 27th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619167673 | NPPES |
| Florida | MEDICAID | 001992700 |
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