Organization
MAGDY SHADY NEUROSURGEON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN RIVERA (PRACTICE ADMINISTRATOR)
(631) 751-2700
Entity
Organization
Contact information
Practice address
2500 NESCONSET HWY, BLDG 18C, STONY BROOK, NY 11790-2555
(631) 751-2700
Mailing address
2500 NESCONSET HWY, BLDG 18C, STONY BROOK, NY 11790-2555
(631) 751-2700
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
181099
NY
Other
Enumeration date
07/31/2008
Last updated
04/09/2009
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