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Organization
SHAFI WANI,M.D.,P.C.
Active
Organization
SHAFI WANI,M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAFI WANI M.D. (OWNER)
(631) 689-3005
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY, BUILDING 15H, STONY BROOK, NY 11790-2555
(631) 689-3005
(631) 689-1750
Mailing address
2500 NESCONSET HWY, BUILDING 15H, STONY BROOK, NY 11790-2555
(631) 689-3005
(631) 689-1750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
111748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00201818
—
NY
Enumeration date
12/23/2010
Last updated
12/23/2010
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