Provider Demographics
NPI:1881730091
Name:SHAPIRO, BARRY (MS-CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:BARRY
Middle Name:
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 HERZEL BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-4213
Mailing Address - Country:US
Mailing Address - Phone:631-321-4550
Mailing Address - Fax:631-321-4379
Practice Address - Street 1:735 HERZEL BLVD
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-4213
Practice Address - Country:US
Practice Address - Phone:631-321-4550
Practice Address - Fax:631-321-4379
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007884235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist