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Organization
MAGDY SHADY M.D., P.C.
Active
Organization
MAGDY SHADY M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN RIVERA (OFFICE MANAGER)
(631) 751-2700
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY, BLDG. 18C STE.69, STONY BROOK, NY 11790-2555
(631) 751-2700
(631) 751-5853
Mailing address
2500 NESCONSET HWY, BLDG. 18C STE.69, STONY BROOK, NY 11790-2555
(631) 751-2700
(631) 751-5853
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1811099
NY
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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