MEDICARE: DR. RON 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	204F00000X	Transplant Surgery Physician	147322	NY

General Provider Information

NPI Number	:	1720053911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RON SHAPIRO MD

Provider Business Mailing Address
First Line	:	ONE GUSTAVE L LEVY PLACE
Second Line	:	BOX 1104
City	:	NEW YORK
State	:	NY
Zip	:	10029-6574
Country	:	US
Telephone Number	:	212-241-8035
Fax Number	:	212-241-2064

Provider Business Practice Location Address
First Line	:	5 EAST 98TH STREET
Second Line	:	12TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10029-6574
Country	:	US
Telephone Number	:	212-241-8035
Fax Number	:

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	02/17/2015

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