Provider Demographics
NPI:1215926779
Name:SHAPIRO, ROBERT S (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:SHAPIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:WESTCHESTER ADVANCED PHYSICIAN SERVICES, PC
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-493-6692
Mailing Address - Fax:914-493-6932
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:WESTCHESTER ADVANCED PHYSICIAN SERVICES, PC
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-6692
Practice Address - Fax:914-493-6932
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1631252085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01205563Medicaid
NY63F491Medicare ID - Type Unspecified
NY01205563Medicaid