Shah, Syed M

Shah, Syed M is an individual health care provider with primary practice located at 435 59Th St , West New York NJ 07093-2107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Shah, Syed M can be contacted via phone (201) 295-1988.

Contact Information

Primary practice address
435 59Th St West New York NJ 07093-2107
Phone: (201) 295-1988
Fax: (201) 295-0266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MA057809 New Jersey
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA05780900 New Jersey

Profile Details

NPI number 1760496152
LBN Legal business name Shah, Syed M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Oct 11th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760496152 NPPES
New Jersey MEDICAID 7323000

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