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Organization
SHYAM SHIVDASANI MD PLLC
Active
Organization
SHYAM SHIVDASANI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALEEN SHIVDASANI (VP)
(516) 242-1430
Entity
Organization
Contact information
Practice address
800 COMMUNITY DR, SUITE 207, MANHASSET, NY 11030-3822
(516) 426-7750
(516) 627-0464
Mailing address
21 RENI RD, MANHASSET, NY 11030-1222
(516) 869-3210
(516) 627-0464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196192
NY
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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