CATHERINE SHAW
NPI 1376951947
Specialist in Staten Island, NY

Active since July 28, 2014
107 WIRT AVE, STATEN ISLAND, NY 10309(718) 554-4813 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Catherine Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHERINE SHAW (NPI 1376951947) is an individual specialist in Staten Island, New York, licensed in New York (854007141) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1376951947
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCATHERINE SHAW
Location Address107 WIRT AVEStaten Island, NY 10309-4257
Mailing Address107 Wirt AveStaten Island, NY 10309-4257
Sole ProprietorYes
Enumeration DateJuly 28, 2014
NPI 1376951947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 854007141
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

107 WIRT AVE, Staten Island, NY 10309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376951947, enumerated as an "individual" on July 28, 2014.

The provider is located at 107 WIRT AVE STATEN ISLAND, NY 10309 and the phone number is (718) 554-4813.

Specialist with taxonomy code 174400000X.