Individual
PHYLLIS M SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
250 W 57TH ST, SUITE 330, NEW YORK, NY 10107-0001
(212) 262-7448
(212) 262-7448
Mailing address
75 E END AVE, #19F, NEW YORK, NY 10028-7909
(212) 879-0966
(212) 879-0966
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
714
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714
NYS LICENSE
NY
Enumeration date
03/06/2007
Last updated
07/08/2007
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