Shapiro, Mark A

Shapiro, Mark A is an sole proprietor health care provider with primary practice located at 10 B Medical Dr , Port Jefferson Station NY 11776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Shapiro, Mark A can be contacted via phone (631) 474-1111.

Contact Information

Primary practice address
10 B Medical Dr Port Jefferson Station NY 11776
Phone: (631) 474-1111
Fax: (631) 474-4694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 147508 New York

Profile Details

NPI number 1003914680
LBN Legal business name Shapiro, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Aug 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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