Individual
DR. LISA NICOLE SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. D.O
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7900
Mailing address
100 VILLAGE SQ APT 339, GLEN COVE, NY 11542-2667
(631) 374-4342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306553
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2017
Last updated
12/26/2020
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