Provider Demographics
NPI:1801943345
Name:SHAH, AMI J (MD)
Entity type:Individual
Prefix:DR
First Name:AMI
Middle Name:J
Last Name:SHAH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:ADVANTAGECARE PHYSICIANS, PC
Mailing Address - Street 2:55 WATER STREET 2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041-0004
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:215 EAST 95TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4007
Practice Address - Country:US
Practice Address - Phone:212-996-8000
Practice Address - Fax:212-423-3127
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2021-09-23
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Provider Licenses
StateLicense IDTaxonomies
NY254720207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology