Provider Demographics
NPI:1811287915
Name:JEFFREY T SHAPIRO MD PC
Entity type:Organization
Organization Name:JEFFREY T SHAPIRO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:T
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-472-1900
Mailing Address - Street 1:700 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 19
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5013
Mailing Address - Country:US
Mailing Address - Phone:914-472-1900
Mailing Address - Fax:914-472-8454
Practice Address - Street 1:700 WHITE PLAINS RD
Practice Address - Street 2:SUITE 19
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5013
Practice Address - Country:US
Practice Address - Phone:914-472-1900
Practice Address - Fax:914-472-8454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186468207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty