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Individual

DEBORAH A SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2 CROSFIELD AVE, STE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND ST, WARWICK, NY 10990-1035
(845) 353-5600
(845) 987-5979

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1833031
NY
207RP1001X
Pulmonary Disease Physician
Primary
1833031
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0042834
GHI HMO
05
01732594
NY
01
040426011832
FIDELIS MEDICAID HMO
01
0D0701
HEALTHNET OF THE NORTH EA
01
1322995699
HUDSON HEALTH PLAN
01
132995699
CIGNA PPO
01
1531349005
CIGNA HMO POS
01
15J091
BC BS EMPIRE
01
183303
LICENSE NUMBER
01
42005P
HIP
01
560770
AETNA USHC
01
5902155
AETNA
01
9662948
GHI
Enumeration date
09/06/2005
Last updated
01/04/2019
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