MEDICARE: DEBORAH A SHAPIRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	1833031	NY
2	207RP1001X	Pulmonary Disease Physician	1833031	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1322995699	OTHER	HUDSON HEALTH PLAN
2	560770	OTHER	AETNA USHC
3	132995699	OTHER	CIGNA PPO
4	5902155	OTHER	AETNA
5	0042834	OTHER	GHI HMO
6	132995699	OTHER	HORIZON HEALTHCARE OF NY
7	1531349005	OTHER	CIGNA HMO POS
8	15J091	OTHER	BC BS EMPIRE
9	183303	OTHER	LICENSE NUMBER
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	0D0701	OTHER	HEALTHNET OF THE NORTH EA
12	132995699	OTHER	INDECS
13	9662948	OTHER	GHI
14	1322995699	OTHER	FAM HEALTH PLUS HUDSON HP
15	132995699	OTHER	BEECH STREET NETWORK
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	132995699	OTHER	HEALTH NOW
18	42005P	OTHER	HIP

General Provider Information

NPI Number	:	1043204084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A SHAPIRO MD

Provider Business Mailing Address
First Line	:	20 GRAND ST
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-1035
Country	:	US
Telephone Number	:	845-353-5600
Fax Number	:	845-987-5979

Provider Business Practice Location Address
First Line	:	2 CROSFIELD AVE
Second Line	:	STE 318
City	:	WEST NYACK
State	:	NY
Zip	:	10994-2226
Country	:	US
Telephone Number	:	845-353-5600
Fax Number	:	845-353-5668

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	01/04/2019

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Directions to “ DEBORAH A SHAPIRO MD” Practice Location

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