Provider Demographics
NPI:1801157243
Name:BARRY STEPHEN SCHAPIRA PSYCHOLOGIST PHD PC
Entity type:Organization
Organization Name:BARRY STEPHEN SCHAPIRA PSYCHOLOGIST PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:SCHAPIRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:631-423-3929
Mailing Address - Street 1:7 SOMNER DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5718
Mailing Address - Country:US
Mailing Address - Phone:631-423-3929
Mailing Address - Fax:631-423-5192
Practice Address - Street 1:7 SOMNER DR
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5718
Practice Address - Country:US
Practice Address - Phone:631-423-3929
Practice Address - Fax:631-423-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-01
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7691-1103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV22851Medicare PIN