=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285658823
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GEORGE C. SHAPIRO, MD & JEFFREY T. SHAPIRO, MD PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/27/2006
-----------------------------------------------------
Last Update Date | 05/04/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 WESTCHESTER PARK DRIVE SUITE 210
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10604-3431
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-472-1900
-----------------------------------------------------
Fax | 914-472-8454
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4 WESTCHESTER PARK DR SUITE 210
-----------------------------------------------------
City | WHITE PLAINS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10604-3497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-472-1900
-----------------------------------------------------
Fax | 914-472-8454
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BILLING MANGER
-----------------------------------------------------
Name | MISS NICOLE GAUDIO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 914-472-1900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------