| Shideh Shafinoori Maybody, MD | |
|
3016 30th Dr, Long Island City, NY 11102-1874 | |
| (718) 626-0670 | |
| (718) 626-0694 |
| Full Name | Shideh Shafinoori Maybody |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3016 30th Dr, Long Island City, 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 |
|---|---|---|---|
| 1972580215 | NPI | - | NPPES |
| 02956889 | Medicaid | NY | |
| 64070725 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 244985 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Shideh Shafinoori Maybody, MD 1161 York Ave Apt 3e, New York, NY 10065-7945 Ph: (718) 626-0670 | Shideh Shafinoori Maybody, MD 3016 30th Dr, Long Island City, NY 11102-1874 Ph: (718) 626-0670 |
Christopher Clemens, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3160 21st St, Long Island City, NY 11106 Phone: 718-932-2110 Fax: 718-274-6945 | |
Dr. Nicolina Marie Wawrin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 Jackson Ave Fl 2, Long Island City, NY 11101 Phone: 646-962-4170 | |
Dr. Urmilesh Arya, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1029 41st Ave, Queens Bridge Clinic, Long Island City, NY 11101 Phone: 718-786-5324 Fax: 718-786-0393 | |
Prina Pandya Amin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 21st St, Long Island City, NY 11106 Phone: 718-482-7772 Fax: 718-482-9648 | |
Dr. Farhana Azad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3711 Queens Blvd, Long Island City, NY 11101 Phone: 718-361-5100 | |
Galia Theresa Austin-leon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4209 28th St, Long Island City, NY 11101 Phone: 646-939-7245 | |
Nikhil Menon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 Jackson Ave Fl 2, Long Island City, NY 11101 Phone: 646-962-4170 Fax: 646-962-0186 |