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Contact Information

VIJAY SHAH, MD
444 W MAIN ST
PATCHOGUE, NY11772-3012
 Phone: 718-204-0414
 Fax: 718-204-7470
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for VIJAY SHAH · (Male)

NPI Number 1609817428
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 09/27/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 200342
  • NY Medicaid 01642713
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PLAINVIEW HOSPITAL - (Acute Care)
    888 OLD COUNTRY ROAD
    PLAINVIEW, NY 11803
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
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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