Basic Information
Provider Information
NPI: 1720053911
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHAPIRO
FirstName: RON
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ONE GUSTAVE L LEVY PLACE
Address2: BOX 1104
City: NEW YORK
State: NY
PostalCode: 100296574
CountryCode: US
TelephoneNumber: 2122418035
FaxNumber: 2122412064
Practice Location
Address1: 5 EAST 98TH STREET
Address2: 12TH FLOOR
City: NEW YORK
State: NY
PostalCode: 100296574
CountryCode: US
TelephoneNumber: 2122418035
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/21/2006
LastUpdateDate: 02/17/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
204F00000X147322NYY Allopathic & Osteopathic PhysiciansTransplant Surgery 

No ID Information.


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