Shah, Meena A
Shah, Meena A is an individual health care provider with primary practice located at 1014 Hawkins Ave , Lake Grove NY 11755-1600. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Shah, Meena A can be contacted via phone (631) 467-7878.Contact Information
Primary practice address
1014 Hawkins Ave
Lake Grove NY 11755-1600
Phone: (631) 467-7878
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 043851 | New York |
Profile Details
| NPI number | 1871686048 |
|---|---|
| LBN Legal business name | Shah, Meena A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871686048 | NPPES |
| New York | MEDICAID | 01470988 |
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