Healthcare Provider Details

I. General information

NPI: 1871570762
Provider Name (Legal Business Name): JANET M SHAPIRO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 05/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 AMSTERDAM AVE MUHL 316
NEW YORK NY
10025-1716
US

IV. Provider business mailing address

150 E 42ND ST FL 9
NEW YORK NY
10017-5699
US

V. Phone/Fax

Practice location:
  • Phone: 212-523-3610
  • Fax: 212-523-3609
Mailing address:
  • Phone: 646-605-8188
  • Fax: 212-315-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number166696
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number1666696
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: