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Shafi Wani,m.d.,p.c.
Specialist in Stony Brook, New York
NPI 1568766095

Shafi Wani,m.d.,p.c. is a Specialist based in Stony Brook, NY. Shafi Wani,m.d.,p.c. practices in Stony Brook, NY. The NPI Number for Shafi Wani,m.d.,p.c. is 1568766095 and holds a License No. 111748 (New York).

The current practice location address for Shafi Wani,m.d.,p.c. is 2500 Nesconset Hwy, Stony Brook, NY and can be reached out via phone at 631-689-3005 and via fax at 631-689-1750.

Location: 2500 Nesconset Hwy, Stony Brook, NY, 11790-2555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568766095
Provider Name
Shafi Wani,m.d.,p.c.
Credential
Provider Entity Type
Organization
Address
2500 Nesconset Hwy, Stony Brook, NY, 11790-2555
Phone Number
631-689-3005
Fax Number
631-689-1750
Provider Enumeration Date
12/23/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00201818 05 NY
institution
Provider Business Practice Location Address Details
Address
2500 Nesconset Hwy
City
Stony Brook
State
New York
Zip
11790-2555
Phone Number
631-689-3005
Fax Number
631-689-1750
person
Provider Business Mailing Address Details
Address
2500 Nesconset Hwy
City
Stony Brook
State
New York
Zip
11790-2555
Phone Number
631-689-3005
Fax Number
631-689-1750
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
111748 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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