Provider Demographics
NPI:1194739243
Name:SHAPIRO, JEFFREY T (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:T
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4 WESTCHESTER PARK DRIVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3431
Mailing Address - Country:US
Mailing Address - Phone:914-472-1900
Mailing Address - Fax:914-472-8454
Practice Address - Street 1:4 WESTCHESTER PARK DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3431
Practice Address - Country:US
Practice Address - Phone:914-472-1900
Practice Address - Fax:914-472-8454
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY186468207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110138386OtherRAILROAD MCR
NY133783251OtherBEECHSTREET
NY133783251OtherCHN
NY133783251OtherMAGNACARE
NY3C2657OtherHEALTHNET
NY42881OtherGHI HMO
NY3686289OtherAETNA HMO
NY6012990OtherGHI
NYP416373OtherOXFORD & OXFORD MCR
NY002652OtherCONNECTICARE
NY133783251OtherANTHEM
NY160855POtherHIP
NY133783251OtherHORIZON HEALTHCARE OF NY
NY133783251Other1199
NY133783251OtherMULTIPLAN
NYO1588334Medicaid
NY4630351-001OtherCIGNA
NY5502760OtherAETNA PPO
NY6012990OtherGHI
NYG11774Medicare UPIN