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Contact Information

SHA YAN, D.O.
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 203-928-0600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Hospice and Palliative Medicine

207PH0002X 17 Physician/Hospice and Palliative Care
Indicates primary specialty

NPI Profile & details for SHA YAN · (Female)

NPI # 1508246992
Status Active
Credentials D.O. (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/01/2015
Last updated 04/26/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • MA License # 1027187
  • NY License # 292089-1
  • RI License # DO01566
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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