Individual
DR. CHARLES Y. SHAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BOX 25, BROOKLYN, NY 11203-2056
(718) 270-6755
(718) 270-3313
Mailing address
450 CLARKSON AVE, BOX 25, BROOKLYN, NY 11203-2056
(718) 270-6755
(718) 270-3313
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
219050-1
NY
Other
Enumeration date
12/07/2005
Last updated
09/06/2013
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