Provider Demographics
NPI:1649484171
Name:SHAPIRO, RASHI Y (PHD)
Entity type:Individual
Prefix:DR
First Name:RASHI
Middle Name:Y
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 DE KOVEN CT
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1744
Mailing Address - Country:US
Mailing Address - Phone:718-253-2134
Mailing Address - Fax:718-252-3542
Practice Address - Street 1:52 DE KOVEN CT
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1744
Practice Address - Country:US
Practice Address - Phone:718-253-2134
Practice Address - Fax:718-252-3542
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009423103TC0700X, 103TP2701X
NY296311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical