Most Relevant Information
Provider Data
| NPI Number: | 1003492042 |
| Provider Name: | ROSHNI SHAH CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 383186 |
Most Important Dates
| Enumeration Date: | 03/21/2021 |
| Last Updated: | 06/20/2024 |
Provider Practice Location
7901 BROADWAY # A1-19
ELMHURST
NY
113731329
Practice Location Phone/Fax
| Phone: | 7183343501 |
| Fax: | 7183345006 |
Provider Mailing Location
7901 BROADWAY # A1-19
ELMHURST
NY
113731329
Provider Mailing Phone/Fax
| Phone: | 7183343501 |
| Fax: | 7183345006 |