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
Phone: (631) 447-8697
Fax: (631) 447-0913
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487726584 | NPPES |
| New York | MEDICAID | 02011287 |
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