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Individual

AMY SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD,CDN

Contact information

Practice address
373 ROUTE 111, SUITE 16, SMITHTOWN, NY 11787-4759
(631) 979-6699
(631) 265-1162
Mailing address
1 PEWTER PL, DIX HILLS, NY 11746-5007
(631) 858-0263

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005219
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115844P
HIP
NY
01
138287
VYTRA HEALTH PLANS
NY
01
2330023
UNITED HEALTHCARE
NY
01
2500919 001
CIGNA
NY
01
8099809
GHI PPO
NY
01
P2399350
OXFORD HEALTH PLANS
NY
Enumeration date
09/26/2006
Last updated
07/08/2007
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