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Individual

SHAWKY Z.A. BADAWY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-5210
(315) 464-2141
Mailing address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-5210
(315) 464-2141

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
122583
NY
207VE0102X
Reproductive Endocrinology Physician
Primary
122583-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00538638
NY
Enumeration date
06/16/2006
Last updated
10/22/2010
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