Individual
OLEG SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-6106
(315) 464-6117
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-6106
(315) 464-6117
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
246718
NY
208800000X
Urology Physician
MD432747
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03025821
—
NY
Enumeration date
02/28/2008
Last updated
01/29/2014
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