Individual
DR. MARK A SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 B MEDICAL DR, PORT JEFFERSON STATION, NY 11776
(631) 474-1111
(631) 474-4694
Mailing address
10 B MEDICAL DR, PORT JEFFERSON STATION, NY 11776
(631) 474-1111
(631) 474-2389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
147508
NY
Other
Enumeration date
09/20/2006
Last updated
08/14/2020
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