Organization
NEW CONCEPT REHABILITATION MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL SHAPIRO DO (PRESIDENT)
(718) 648-1111
Entity
Organization
Contact information
Practice address
2583 OCEAN AVE, BROOKLYN, NY 11229-4521
(718) 648-1111
Mailing address
16 LAMOKA AVE, STATEN ISLAND, NY 10308-2025
(718) 648-1111
(718) 648-5760
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
209819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01897194
—
NY
Enumeration date
12/27/2007
Last updated
09/07/2012
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