# STACY SHAPIRO, SLP-CCC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003356486
- **Authorized official:** MS. STACY BETH SHAPIRO SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (631) 553-1536

## Contact information

- **Practice address:** 103 DEER VALLEY DR, NESCONSET, NY 11767-1567
- **Practice address phone:** (631) 553-1536
- **Mailing address:** 103 DEER VALLEY DR, NESCONSET, NY 11767-1567
- **Mailing address phone:** (631) 553-1536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 010923-1 | NY | Yes |

## Other

- **Enumeration date:** 03/03/2017
- **Last updated:** 03/03/2017