| Doctor Name: | DR. MARVIN SHAPIRO |
| NPI Number: | 1457796013 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 086419 |
| Business Practice Address: | 82 Hickory Hill Lane Tappan, NY - 10983 |
| Business Phone Number: | 8453650256 |
| Business Fax Number: | |
| Mailing Address: | 82 Hickory Hill Lane, TAPPAN |
| State: | NY |
| Postal Code: | 10983 |
| Phone Number: | 8453650256 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2013 |
| NPI Last Update Date: | 05/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 086419 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |