Individual
DR. MARC J SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NICOLLS ROAD, L5 UNIVERSITY HOSPITAL, STONY BROOK, NY 11794
(631) 444-2565
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
229832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02498873
—
NY
01
—
2131H2
EMPIRE BC.BS
NY
01
—
4339325
AETNA
NY
Enumeration date
07/21/2006
Last updated
07/08/2007
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