Provider Demographics
NPI:1114142163
Name:DEBORAH G. SHAPIRO MD LLP
Entity Type:Organization
Organization Name:DEBORAH G. SHAPIRO MD LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-674-2361
Mailing Address - Street 1:26 CAPT HONEYWELLS RD
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-1629
Mailing Address - Country:US
Mailing Address - Phone:914-674-2361
Mailing Address - Fax:914-723-2156
Practice Address - Street 1:2 OVERHILL RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5323
Practice Address - Country:US
Practice Address - Phone:914-723-4414
Practice Address - Fax:914-723-2156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194541207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty