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1003914680
MARK A SHAPIRO
PORT JEFFERSON STATION, NY
NPI
1003914680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 147508)
Enumeration Date
2006-09-20
Last Update Date
2020-08-14
Business Address
Dr. MARK A SHAPIRO MD
10 B MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Phone number: 631-474-1111
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Mailing Address
Dr. MARK A SHAPIRO MD
10 B MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Phone number: 631-474-1111
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