Individual
DR. BERETT PAIGE SHAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 E MAIN ST, SMITHTOWN, NY 11787-2900
(631) 979-6466
(631) 979-6475
Mailing address
300 E MAIN ST STE 5, SMITHTOWN, NY 11787-2900
(631) 979-6466
(631) 979-6475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
254837
NY
208000000X
Pediatrics Physician
49318
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008033892
—
CT
Enumeration date
11/23/2009
Last updated
01/24/2025
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