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Organization

SOUTH BALDWIN FACILITIES MANAGEMENT CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHASHI SHAH M.D. (PRESIDENT)
(631) 629-4845
Entity
Organization

Contact information

Practice address
865 MERRICK RD, BALDWIN, NY 11510-3338
(631) 629-4845
Mailing address
865 MERRICK RD, BALDWIN, NY 11510-3338
(631) 629-4845

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
07/12/2013
Last updated
07/12/2013
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