Maybody, Shideh Shafinoori

Maybody, Shideh Shafinoori is an sole proprietor health care provider with primary practice located at 3016 30Th Dr , Long Island City NY 11102-1874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maybody, Shideh Shafinoori can be contacted via phone (718) 626-0670.

Contact Information

Primary practice address
3016 30Th Dr Long Island City NY 11102-1874
Phone: (718) 626-0670
Fax: (718) 626-0694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 244985 New York

Profile Details

NPI number 1972580215
LBN Legal business name Maybody, Shideh Shafinoori
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Dec 2nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972580215 NPPES
New York MEDICAID 02956889
New York MEDICAID 64070725

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