Individual
DR. AMY LEAH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E. 68TH ST., PAYSON 2, NEW YORK, NY 10065
(212) 746-7000
(646) 697-0029
Mailing address
525 E 68TH ST., BOX 39, NEW YORK, NY 10065
(212) 746-1677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
283111
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
283111
NY
Other
Enumeration date
03/26/2013
Last updated
07/17/2023
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