Dr Shelly Beth Waldman, MD | |
4 Technology Dr, East Setauket, NY 11733-4080 | |
(631) 444-0650 | |
Not Available |
Full Name | Dr Shelly Beth Waldman |
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Gender | Female |
Speciality | Pediatrics |
Location | 4 Technology Dr, East Setauket, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1437582103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 279765 (New York) | Primary |
Entity Name | Downtown Bronx Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
Entity Name | Harlem Medical Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487957692 PECOS PAC ID: 9335321223 Enrollment ID: O20110315000005 |
Entity Name | Metropolitan Medical Practice Plan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
Entity Name | Physician Affiliate Group Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
Mailing Address | Practice Location Address |
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Dr Shelly Beth Waldman, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650 | Dr Shelly Beth Waldman, MD 4 Technology Dr, East Setauket, NY 11733-4080 Ph: (631) 444-0650 |
Payal R Anand, Pediatrics Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-5437 | |
Dr. Saiqa Haque Nabi, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr Ste 250, East Setauket, NY 11733 Phone: 631-444-4601 | |
Dr. Stuart Marc Holzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, Suite 250, East Setauket, NY 11733 Phone: 631-444-4601 Fax: 631-444-4990 | |
Julie Cherian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-4660 | |
Michelle Tobin, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4 Technology Drive, East Setauket, NY 11733 Phone: 631-444-4601 Fax: 631-444-4990 | |
Dr. Latha Chandran, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4601 |