Individual provider · Type 1 NPI

Mark Shapiro, CRNA, DNP, ACAGNP

Acute Care Nurse Practitioner · Bay Shore, NY

NPI number 1780594796 Active

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Call (631) 968-3000 Map

Mailing address

819 Outlook Ave
West Babylon, NY 11704-4419

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	735374-01 (NY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1780594796

Mark Shapiro, CRNA, DNP, ACAGNP's National Provider Identifier is 1780594796, issued on Sep 10, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Bay Shore, NY. The record was last updated on Sep 10, 2026.