Shaber, Justin David

Shaber, Justin David is an individual health care provider with primary practice located at 540 Union Blvd , West Islip NY 11795-3105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Shaber, Justin David can be contacted via phone (631) 669-2555.

Contact Information

Primary practice address
540 Union Blvd West Islip NY 11795-3105
Phone: (631) 669-2555
Fax: (631) 669-3051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 237081 New York

Profile Details

NPI number 1255598595
LBN Legal business name Shaber, Justin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Aug 25th, 2014 - about 11 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 1255598595 NPPES
New York MEDICAID 02696871

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