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Individual

ILAN SHAPIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 UNION SQ E, SUITE 4C, NEW YORK, NY 10003-3314
(212) 844-8948
Mailing address
PO BOX 95000-2441, PHILADELPHIA, PA 19195-0001
(212) 844-8948

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
226789
NY
207RH0003X
Hematology & Oncology Physician
Primary
226789
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01825350
NY
Enumeration date
11/23/2005
Last updated
10/13/2015
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