Organization
SLAVA SHAPIRO, DDS, MD , PC
Active
Other names
Woodbury Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SLAVA SHAPIRO DDS, MD (OWNER)
(516) 677-9777
Entity
Organization
Contact information
Practice address
167 FROEHLICH FARM BLVD, WOODBURY, NY 11797-2906
(516) 677-9777
(516) 677-9778
Mailing address
118 GREENWAY DR S, SYOSSET, NY 11791-3854
(516) 677-9777
(516) 677-9778
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
049812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003015926
—
NY
Enumeration date
07/08/2010
Last updated
07/08/2010
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