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Individual

MICHELLE REGINA SHAPRUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1426
(516) 437-4167
Mailing address
1981 MARCUS AVE, SUITE 208, NEW HYDE PARK, NY 11042-2060
(718) 670-1651
(516) 437-4167

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
240992-1
NY

Other

Enumeration date
05/16/2007
Last updated
11/22/2021
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