Provider Demographics
NPI:1679680102
Name:SHAPIRO, ALLA YULIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLA
Middle Name:YULIE
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:130 OCEANA DRIVE WEST
Mailing Address - Street 2:APT 2G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-339-5992
Mailing Address - Fax:
Practice Address - Street 1:1009 BRIGHTON BEACH AVE STE 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5621
Practice Address - Country:US
Practice Address - Phone:718-975-8500
Practice Address - Fax:718-975-8502
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2021-05-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2489832084P0800X
IL2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
I25408Medicare UPIN