Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | NOO4723-1 | NY |
NPI | 1154428175 |
---|---|
Provider Name | Dr. Howard Richard Shapiro |
First Address | New York, NY 10022-4538 |
Second Address | New York, NY 10022-4538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U17509 | (02) | NY |