Provider Demographics
NPI:1407014343
Name:LIVIU SCHAPIRA MD PC
Entity Type:Organization
Organization Name:LIVIU SCHAPIRA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LIVIU
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAPIRA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:718-520-0857
Mailing Address - Street 1:107-21 QUEENS BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-520-0857
Mailing Address - Fax:718-520-9099
Practice Address - Street 1:107-21 QUEENS BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375
Practice Address - Country:US
Practice Address - Phone:718-520-0857
Practice Address - Fax:718-520-9099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00192407Medicaid
NY00192407Medicaid
NY80721Medicare PIN
NYB79624Medicare UPIN