Individual
DR. KENNETH S SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CROSFIELD AVE, SUITE 312, WEST NYACK, NY 10994-2226
(845) 358-2400
(845) 358-2586
Mailing address
2 CROSFIELD AVE, SUITE 312, WEST NYACK, NY 10994-2226
(845) 358-2400
(845) 358-2586
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
127358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00601758
—
NY
Enumeration date
08/10/2006
Last updated
07/08/2007
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