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Contact Information

SAAD A SHUKRI, MD
629 ROUTE 112 STE 8
EAST PATCHOGUE, NY11772-1335
 Phone: 631-447-8697
 Fax: 631-447-0913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SAAD A SHUKRI · (Male)

NPI # 1487726584
Status Active
Credentials MD
Entity Individual
Enumeration date 11/14/2006
Last updated 05/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 211205
  • NY Medicaid 02011287
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
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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