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Contact Information

SRISHTI SHAH, DO
1255 BROAD ST
CLIFTON, NJ07013-3398
 Phone: 973-685-5920
 Fax: 201-604-7464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SRISHTI SHAH · (Female)

NPI Number 1417363441
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/10/2014
Last updated 10/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB10110200
  • NY License # 289873
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
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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