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Individual

MR. LAWRENCE SHAPIRO

Active
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Individual

MR. LAWRENCE SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005370
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133172690
TAX IDENTIFICATION NUMBER
NY
01
20100P
HIP PROVIDER NUMBER
NY
01
6603997
GHI PROVIDER NUMBER
NY
01
668349
AETNA ID NUMBER
NY
01
ANC1519
OXFORD PROVIDER ID
NY
Enumeration date
04/04/2007
Last updated
11/07/2022
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