Provider Demographics
NPI:1336217850
Name:SHAPIRO, CARIN SARA (MD ,MPH)
Entity Type:Individual
Prefix:DR
First Name:CARIN
Middle Name:SARA
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:MD ,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:260 N LITTLE TOR RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-2627
Mailing Address - Country:US
Mailing Address - Phone:845-708-2000
Mailing Address - Fax:845-639-0375
Practice Address - Street 1:260 N LITTLE TOR RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-2627
Practice Address - Country:US
Practice Address - Phone:845-708-2000
Practice Address - Fax:845-639-0375
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204640207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG39884Medicare UPIN
NY663971Medicare ID - Type Unspecified