Provider Demographics
NPI:1871570762
Name:SHAPIRO, JANET M (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:M
Last Name:SHAPIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:150 E 42ND ST
Mailing Address - Street 2:FL 9
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5699
Mailing Address - Country:US
Mailing Address - Phone:646-605-8188
Mailing Address - Fax:212-315-0196
Practice Address - Street 1:1111 AMSTERDAM AVE
Practice Address - Street 2:MUHL 316
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1716
Practice Address - Country:US
Practice Address - Phone:212-523-3610
Practice Address - Fax:212-523-3609
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2019-05-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY166696207RP1001X
NY1666696207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01402060Medicaid
NY03L84Medicare ID - Type Unspecified
NY01402060Medicaid