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NPI Code Detail

MEDICARE: VIVIAN SHAPIRO

MEDICARE: VIVIAN SHAPIRO
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
12251P0200XPediatric Physical Therapist018364-1NY

General Provider Information

NPI Number : 1457651143
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN SHAPIRO
Provider Business Mailing Address
First Line : 14034 69TH AVE
Second Line :
City : FLUSHING
State : NY
Zip : 11367-1637
Country : US
Telephone Number : 718-810-1715
Fax Number : 718-263-2614
Provider Business Practice Location Address
First Line : 7125 MAIN ST
Second Line :
City : FLUSHING
State : NY
Zip : 11367-2014
Country : US
Telephone Number : 718-261-0221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/27/2010

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Directions to “ VIVIAN SHAPIRO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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