Shady Yasser Albakry
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Stony Brook, NY
NPI 1346043775 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1346043775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 101 Nicolls Rd
Stony Brook, NY 11794-0001 - Phone
- (631) 689-8333
- NPI assigned
- Mar 31, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | Yes |
Addresses
Primary practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
5 Duhamel Dr
Hopewell Junction, NY 12533-5364
Phone (917) 747-2361
Other providers in Stony Brook, NY
- Omer Ibrahim Mahdi Al Najafi
- Caesar Alaienia
- Mohammed Jahangir Alam
- Saamia Alam
- Marie Elizabeth Alarcon
- Albert Kim, MD,PC
- Andrew Lorenzo Alejo
- James Peter Alessi
- Jennifer Ann Alessio
- Alex Stano LLC
All providers in Stony Brook, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.