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General NPI Number Information
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NPI Number | 1760604946
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Entity Type | Organization
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Legal Business Name | BARRY M. SHAPIRO, M.D., P.C.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 425 N STATE RD
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-1469
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Country | US
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Telephone | 914-945-0505
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Fax | 914-945-0828
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Provider Business Mailing Address
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Address Line | 425 N STATE RD
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-1469
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Country | US
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Telephone | 914-945-0505
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Fax | 914-945-0828
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY M. SHAPIRO
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Credential | M.D.
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Telephone | 914-945-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 138918
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License Number State | NY
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