Organization
JONATHAN P SHAPIRO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN P SHAPIRO MD (MANAGER)
(718) 543-5054
Entity
Organization
Contact information
Practice address
115 61ST ST, SUITE 3A, NEW YORK, NY 10065-8184
(212) 752-6550
Mailing address
4601 FIELDSTON RD, BRONX, NY 10471-3313
(718) 543-5054
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
214518
NY
Other
Enumeration date
06/24/2005
Last updated
03/04/2020
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