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Individual

DR. LEE MICHAEL SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-5737
Mailing address
760 BROADWAY, BROOKLYN, NY 11206-5317

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6224126
NY
103TP2701X
Group Psychotherapy Psychologist
6224126
NY

Other

Enumeration date
12/24/2007
Last updated
12/24/2007
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