Provider Demographics
NPI:1023121928
Name:SHAH, BINITA R (MD)
Entity type:Individual
Prefix:DR
First Name:BINITA
Middle Name:R
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:488 OLD COURTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1142
Mailing Address - Country:US
Mailing Address - Phone:516-365-4073
Mailing Address - Fax:516-365-4073
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-245-4790
Practice Address - Fax:718-245-4799
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYNY 141787-1207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine