Individual
JAKE SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(917) 520-1152
Mailing address
423 E 23RD ST, NEW YORK, NY 10010-5011
(917) 520-1152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062725
NY
Other
Enumeration date
06/19/2021
Last updated
09/14/2022
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