Individual ProviderMinesh K. ShahPharmacistPharmacy Service ProvidersPractice Address104 Dekalb Ave, Brooklyn, NY 11201-5427(718) 250-0060(718) 343-5806PECOS EnrollmentBased on the most recent information from CMS, provider Minesh K. Shah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417289554Provider TypeIndividualFull NameShah, Minesh K.GenderMaleSole ProprietorYesEnumeration Date1/30/2010Last Updated1/30/2010Contact InformationPractice LocationPractice Address104 Dekalb Ave, Brooklyn, NY 11201-5427Phone(718) 250-0060Fax(718) 852-0469Mailing LocationMailing Address6924 260th Pl, Floral Park, NY 11004-1010Phone(718) 343-5806FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense034932New York