IndividualActive
Jaanki Shah
NPI 1619618329 · Adult Medicine Physician · Woodbury, NY
Provider details
- NPI number
- 1619618329
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 336606 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
155 Froehlich Farm Blvd
Woodbury, NY 11797-2906
Phone: (516) 588-9077
Approximate (ZIP-level) locationGet directions
Mailing address
155 Froehlich Farm Blvd
Woodbury, NY 11797-2906
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.