Provider Demographics
NPI:1497817209
Name:ANDREW SHAPIRO DPM & MICHAEL BARKIN DPM, LLP
Entity Type:Organization
Organization Name:ANDREW SHAPIRO DPM & MICHAEL BARKIN DPM, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-825-3860
Mailing Address - Street 1:66 W MERRICK RD
Mailing Address - Street 2:STE 101
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5707
Mailing Address - Country:US
Mailing Address - Phone:516-825-3860
Mailing Address - Fax:516-599-6257
Practice Address - Street 1:66 W MERRICK RD
Practice Address - Street 2:STE 101
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5707
Practice Address - Country:US
Practice Address - Phone:516-825-3860
Practice Address - Fax:516-599-6257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCF7301OtherMEDICARE RR
NY03157Medicare PIN
NY4243350001Medicare NSC
NYT96007Medicare UPIN
NYT51390Medicare UPIN
NYP1W201Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER