Provider Demographics
NPI:1699590760
Name:SHALABY, MIRIAM (DPT)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:SHALABY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 HAMLET DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-3001
Mailing Address - Country:US
Mailing Address - Phone:973-699-2737
Mailing Address - Fax:
Practice Address - Street 1:18 E MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-1817
Practice Address - Country:US
Practice Address - Phone:631-418-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist