Shukri, Saad A

Shukri, Saad A is an sole proprietor health care provider with primary practice located at 629 Route 112 Ste 8 , East Patchogue NY 11772-1335. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Shukri, Saad A can be contacted via phone (631) 447-8697.

Contact Information

Primary practice address
629 Route 112 Ste 8 East Patchogue NY 11772-1335
Fax: (631) 447-0913
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 211205 New York

Profile Details

NPI number 1487726584
LBN Legal business name Shukri, Saad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
Last updated May 2nd, 2022 - about 2 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 1487726584 NPPES
New York MEDICAID 02011287

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