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Individual

DR. IRA G. SHAYWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7037
(540) 342-1757
Mailing address
545 ELMONT RD, ELMONT, NY 11003-4002
(516) 354-4200
(516) 775-1972

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101253529
VA
2085R0202X
Diagnostic Radiology Physician
238089
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02728509
NY
Enumeration date
08/17/2006
Last updated
07/21/2021
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