Provider Demographics
NPI:1033140736
Name:SHAH, PRITEE (PT)
Entity Type:Individual
Prefix:MRS
First Name:PRITEE
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 BROADWAY
Mailing Address - Street 2:BROADWAY FOOT AND ANKLE CTR., PA
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407
Mailing Address - Country:US
Mailing Address - Phone:201-794-3223
Mailing Address - Fax:
Practice Address - Street 1:67 BROADWAY
Practice Address - Street 2:BROADWAY FOOT AND ANKLE CTR., PA
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407
Practice Address - Country:US
Practice Address - Phone:201-794-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist