Provider Demographics
NPI:1205840337
Name:SHAPIRO, GEORGE C (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:C
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 WESTCHESTER PARK DRIVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3431
Mailing Address - Country:US
Mailing Address - Phone:914-472-1900
Mailing Address - Fax:914-472-8454
Practice Address - Street 1:4 WESTCHESTER PARK DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3431
Practice Address - Country:US
Practice Address - Phone:914-472-1900
Practice Address - Fax:914-472-8454
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179543174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1C4452OtherHEALTHNET
NY133783251OtherBEECH STREET
NY133783251OtherCHN
NY133783251OtherPOMCO
NY7141114-004OtherCIGNA
NY133783251OtherPHCS
NY2101340OtherGHI
NY4618635OtherAETNA PPO
NYO60032868OtherRAILROAD MCR
NY0537413OtherAETNA HMO
NY2654OtherCONNECTICARE
NY133783251OtherMULTIPLAN
NY133783251OtherUNITED HEALTH CARE
NY17697OtherGHI HMO
NY133783251OtherHORIZON HEALTHCARE OF NY
NY88F971OtherEMPIRE BLUE CROSS/SHEILD
NYNP1023OtherOXFORD & OXFORD MCR
NY133783251OtherBEECH STREET
NY17697OtherGHI HMO