Provider Demographics
NPI:1770646994
Name:SCHAPIRA, BARRY STEPHEN (PHD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:STEPHEN
Last Name:SCHAPIRA
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 1:7 SOMNER DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5718
Mailing Address - Country:US
Mailing Address - Phone:631-423-3929
Mailing Address - Fax:631-423-5192
Practice Address - Street 1:7 SOMNER DR
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5718
Practice Address - Country:US
Practice Address - Phone:631-423-3929
Practice Address - Fax:631-423-5192
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007691-1103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00810417Medicaid
NYR52936Medicare UPIN
NY00810417Medicaid