Individual
RACHAEL SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, AGNP-BC
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-3300
Mailing address
54 AVALON CIR, SMITHTOWN, NY 11787-3855
(631) 742-1952
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309410
NY
Other
Enumeration date
11/20/2019
Last updated
09/07/2022
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