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Contact Information

JEFFREY L SHAKIN, MD
600 NORTHERN BLVD
SUITE 16
GREAT NECK, NY11021
 Phone: 516-466-0390
 Fax: 516-829-0520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JEFFREY L SHAKIN · (Male)

NPI # 1245343532
Status Active
Credentials MD
Entity Individual
Enumeration date 08/17/2006
Last updated 10/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 127913
  • NY Medicaid 00711371
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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