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Individual

ERNEST C SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
179 BINNEWATER RD, KINGSTON, NY 12401-8423
(845) 331-1285
(845) 338-2518
Mailing address
179 BINNEWATER RD, KINGSTON, NY 12401-8423
(845) 331-1285
(845) 338-2518

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
099260
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01488022
NY
Enumeration date
05/03/2006
Last updated
08/18/2022
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