Provider Demographics
NPI:1063496537
Name:SHAPIRO, WARREN B (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:B
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 BROOKDALE PLZ
Mailing Address - Street 2:ROOM 169CHC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3139
Mailing Address - Country:US
Mailing Address - Phone:718-240-5615
Mailing Address - Fax:718-485-4064
Practice Address - Street 1:1 BROOKDALE PLZ
Practice Address - Street 2:ROOM 169CHC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3139
Practice Address - Country:US
Practice Address - Phone:718-240-5615
Practice Address - Fax:718-485-4064
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2013-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY100379207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2349200OtherAETNA US HEALTHCARE - HMO
NY2503982OtherGHI
NY56942OtherBLUECHOICE
NY5826241OtherAETNA US HEALTHCARE -PPO
NY218693OtherWORKMAN'S COMP
NY2506274OtherGHI
NY569421OtherMEDICARE PTAN
NY6014071009OtherCIGNA - SENIORS
NYKS445OtherOXFORD
NY00172129Medicaid
NY100379OtherHIP
NYBK0200401OtherAMERICHOICE
NY08S761OtherEMPIRE BC/BS
NYP2085088OtherOXFORD
NY100379-B41Other1199 NBF
NY14-43662OtherUNITED HEALTHCARE
NY100379-A41Other1199 NBF
NY6014071006OtherCIGNA - REGULAR
NY11364OtherELDERPLAN