CATHERINE SHAW
NPI 1376951947
Specialist in Staten Island, NY
Active since July 28, 2014
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
Phone(718) 554-4813
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.