Individual
DR. LEONID SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 BLOOMFIELD AVE, CLIFTON, NJ 07012-1142
(201) 448-4100
Mailing address
PO BOX 334, TENAFLY, NJ 07670-0334
(201) 803-0191
(201) 608-7171
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA06604400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02057270
—
NY
01
—
050070740
RAILROAD MEDICARE
NJ
01
—
1346505096
NPI
NJ
01
—
1548544604
NPI
NY
05
—
7329105
—
NJ
Enumeration date
05/09/2006
Last updated
09/11/2018
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