Healthcare Provider Details

I. General information

NPI: 1992023337
Provider Name (Legal Business Name): JEFFREY T. SHAPIRO MD. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2010
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WESTCHESTER PARK DR STE 210
WHITE PLAINS NY
10604-3431
US

IV. Provider business mailing address

4 WESTCHESTER PARK DR STE 210
WHITE PLAINS NY
10604-3431
US

V. Phone/Fax

Practice location:
  • Phone: 914-472-1900
  • Fax: 914-472-8454
Mailing address:
  • Phone: 914-472-1900
  • Fax: 914-472-8454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY T SHAPIRO
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 914-472-1900