Provider Demographics
NPI:1952565228
Name:SHAPIRO, SOFIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:
Last Name:SHAPIRO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:MOUNT. KISCO MEDICAL GROUP, PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-232-3826
Practice Address - Street 1:192 RTE 117 BYPASS ROAD
Practice Address - Street 2:MOUNT KISCO MEDICAL GROUP, PC
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-2146
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-232-3826
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2016-08-06
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Provider Licenses
StateLicense IDTaxonomies
NY2443752080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03230646Medicaid