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MR. KENNETH LLOYD SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
152 UPPER SHERMAN AVE, GLENS FALLS, NY 12804-2746
(872) 231-3162
(702) 899-0595
Mailing address
PO BOX 22239, NEW YORK, NY 10087-0001
(702) 899-0595
(702) 977-1496

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
179099
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01139922
NY
Enumeration date
10/05/2005
Last updated
12/01/2025
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