Individual
DANIEL SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAPMR
Contact information
Practice address
286 SILLS RD STE 2, EAST PATCHOGUE, NY 11772-8810
(631) 654-4988
(631) 654-0899
Mailing address
286 SILLS RD STE 2, EAST PATCHOGUE, NY 11772-8810
(631) 654-4988
(631) 654-0899
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125974-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-3138090
TAX ID#
NY
01
—
125974
NEW YORK STATE LICENSE
—
Enumeration date
11/20/2006
Last updated
03/07/2023
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