MEDICARE: HOPE SHAPIRO LILIAN CSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	057312-1	NY

General Provider Information

NPI Number	:	1477706315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE SHAPIRO LILIAN CSW

Provider Business Mailing Address
First Line	:	50 QUARRY LN
Second Line	:
City	:	BEDFORD
State	:	NY
Zip	:	10506-1539
Country	:	US
Telephone Number	:	914-234-0007
Fax Number	:	914-234-3335

Provider Business Practice Location Address
First Line	:	50 QUARRY LN
Second Line	:
City	:	BEDFORD
State	:	NY
Zip	:	10506-1539
Country	:	US
Telephone Number	:	914-234-0007
Fax Number	:	914-234-3335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2008
Last Update Date	:	10/23/2008

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