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Individual
JEREMY R SHAPIRO
Active
Individual
JEREMY R SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
321631
NY
390200000X
Student in an Organized Health Care Education/Training Program
HS000220L
PA
Other
Enumeration date
09/20/2008
Last updated
08/29/2023
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