Vijay Shah Physician Pc

LBN: Vijay Shah Physician Pc
Vijay Shah Physician Pc is an health care organization with primary practice located at 17 Gordon Dr , Williston Park NY 11596-1512. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Vijay Shah Physician Pc can be contacted via phone (631) 805-2241, or through Shah, Vijay R via phone (631) 805-2241.

Contact Information

Primary practice address
17 Gordon Dr Williston Park NY 11596-1512
Phone: (631) 805-2241
Fax: (718) 204-7470
Website:
Map and Directions
Authorized official contact:
Name: Shah, Vijay R Doctor of Medicine (MD)
Phone: (631) 805-2241

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 200343 New York

Profile Details

NPI number 1073892337
LBN Legal business name Vijay Shah Physician Pc
DBA Doing business as
Authorized official Shah, Vijay R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2011
Last updated Aug 22nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073892337 NPPES
New York MEDICAID 01642713

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