Shah, Punita A
Shah, Punita A is an sole proprietor health care provider with primary practice located at 1500 Vestal Pkwy E Ste 102, Vestal NY 13850-1830. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shah, Punita A can be contacted via phone (607) 786-0435.Contact Information
Primary practice address
1500 Vestal Pkwy E Ste 102
Vestal NY 13850-1830
Phone: (607) 786-0435
Fax: (607) 786-0435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 057320 | New York |
Profile Details
| NPI number | 1659330314 |
|---|---|
| LBN Legal business name | Shah, Punita A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1659330314 | NPPES |
| New York | MEDICAID | 01884115 |
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