Healthcare Provider Details

I. General information

NPI: 1225074941
Provider Name (Legal Business Name): NELLA IRENE SHAPIRO M.D,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 EASTCHESTER RD
BRONX NY
10469-5900
US

IV. Provider business mailing address

1 RESEARCH RD
RIDGE NY
11961-2701
US

V. Phone/Fax

Practice location:
  • Phone: 718-405-0400
  • Fax: 718-405-0408
Mailing address:
  • Phone: 631-751-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number118989
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: