MEDICARE: DR. HOWARD RICHARD SHAPIRO DPM

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	213ES0131X	Foot Surgery Podiatrist	NOO4723-1	NY

General Provider Information

NPI Number	:	1154428175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD RICHARD SHAPIRO DPM

Provider Business Mailing Address
First Line	:	133 E 54TH ST RM 2E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4538
Country	:	US
Telephone Number	:	212-759-9090
Fax Number	:	212-371-2830

Provider Business Practice Location Address
First Line	:	133 E 54TH ST RM 2E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4538
Country	:	US
Telephone Number	:	212-759-9090
Fax Number	:	212-371-2830

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/09/2007

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