Provider Demographics
NPI:1891965372
Name:SHAPIRO, HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 OCEAN AVE
Mailing Address - Street 2:SUITE 4E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2249
Mailing Address - Country:US
Mailing Address - Phone:718-375-2484
Mailing Address - Fax:
Practice Address - Street 1:2200 OCEAN AVE
Practice Address - Street 2:SUITE 4E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-2249
Practice Address - Country:US
Practice Address - Phone:718-375-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02102111N00000X
FL6893111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor