Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 179099 | NY |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 179099 | NY |
NPI | 1477540375 |
---|---|
Provider Name | Mr. Kenneth L Shapiro |
First Address | Albany, NY 12212-4890 |
Second Address | Schenectady, NY 12308-2104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 03/12/2018 |