Provider Demographics
NPI:1285658823
Name:GEORGE C. SHAPIRO, MD & JEFFREY T. SHAPIRO, MD PC
Entity Type:Organization
Organization Name:GEORGE C. SHAPIRO, MD & JEFFREY T. SHAPIRO, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUDIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-472-1900
Mailing Address - Street 1:4 WESTCHESTER PARK DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3497
Mailing Address - Country:US
Mailing Address - Phone:914-472-1900
Mailing Address - Fax:914-472-8454
Practice Address - Street 1:4 WESTCHESTER PARK DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3431
Practice Address - Country:US
Practice Address - Phone:914-472-1900
Practice Address - Fax:914-472-8454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02597991Medicaid
NYWEQ751Medicare PIN