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Individual

DR. JUSTIN DAVID SHABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-3051
Mailing address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-3051

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
237081
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02696871
NY
Enumeration date
05/22/2008
Last updated
08/25/2014
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