Individual
MR. MICHAEL RANDALL SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T., C.L.T.
Contact information
Practice address
25 MELANIE LN, SYOSSET, NY 11791-5831
(646) 236-2932
Mailing address
25 MELANIE LN, SYOSSET, NY 11791-5831
(646) 236-2932
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
023916
NY
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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