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.

  • Individual
  • Female
  • Specialist

About CATHERINE SHAW

This page provides the complete NPI Profile along with additional information for Catherine Shaw, a provider established in Staten Island, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1376951947 assigned on July 2014. The practitioner's primary taxonomy code is 174400000X with license number 854007141 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1376951947 Verify this NPI
Provider Name
CATHERINE SHAW
Gender
Female
Entity Type
Individual
Location Address
107 WIRT AVE STATEN ISLAND, NY 10309
Location Phone
(718) 554-4813
Mailing Address
107 WIRT AVE STATEN ISLAND, NY 10309
Is Sole Proprietor?
Yes
Enumeration Date
07-28-2014
Last Update Date
07-28-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
854007141
License State
NY
Taxonomy Description
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.

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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.