Shetty, Sanjay

Shetty, Sanjay is an individual health care provider with primary practice located at 1 Healthy Way , Oceanside NY 11572-1551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shetty, Sanjay can be contacted via phone (516) 632-3900.

Contact Information

Primary practice address
1 Healthy Way Oceanside NY 11572-1551
Phone: (516) 632-3900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME89594 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 223773 New York

Profile Details

NPI number 1770510893
LBN Legal business name Shetty, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Aug 30th, 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 1770510893 NPPES
Florida MEDICAID 269588000
Florida Other 43213

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