Provider Demographics
NPI:1518220359
Name:SHAPIRO, BARBARA (MSED)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SULLIVAN ST APT 2G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3614
Mailing Address - Country:US
Mailing Address - Phone:646-250-5545
Mailing Address - Fax:
Practice Address - Street 1:110 SULLIVAN ST APT 2G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3614
Practice Address - Country:US
Practice Address - Phone:646-250-5545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist