| | Physician Last Name: | Shapiro |
| | Physician First Name: | Jack |
| | Physician Middle Name: | M |
| | Address: | 147 Bacon Road
Old Westbury, New York 11568 |
| | License Number: | 140155 |
| | License Type: | MD |
| | Year of Birth: |
1950
|
| | Effective Date: | 03/17/1999 |
| | Action Description for DOH Webpage: | Censure and reprimand with $2,000 fine.The physician has satisfied the terms of the order. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge that he was convicted in U.S. District Court in the District of Alaska of unauthorized criminal possession of an official identification card. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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