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Individual

DR. ERIC DALE SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
380 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-6600
(631) 422-8503
Mailing address
380 MONTAUK HWY, WEST ISLIP, NY 11795-4403
(631) 422-6600
(631) 422-8503

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
150306-1
NY

Other

Enumeration date
10/19/2006
Last updated
09/13/2011
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