# DR.SHAPIRO EXCEL REHABILITATION PC

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

## Provider details

- **NPI number:** 1568807550
- **Authorized official:** DR. MIKHAIL SHAPIRO DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (646) 207-0046

## Contact information

- **Practice address:** 3663 ROUTE 9 N STE 103, OLD BRIDGE, NJ 08857-3518
- **Practice address phone:** (646) 207-0046
- **Practice address fax:** (718) 646-1894
- **Mailing address:** 16 LAMOKA AVE, STATEN ISLAND, NY 10308-2025
- **Mailing address phone:** (646) 207-0046
- **Mailing address fax:** (718) 646-1894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MB07640400 | NJ | Yes |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 05/03/2013