Individual
DR. CHARLES NEAL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., M.S.
Contact information
Practice address
110 HAMPDEN RD, ROCHESTER, NY 14610-1036
(315) 638-0917
Mailing address
110 HAMPDEN RD, ROCHESTER, NY 14610-1036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
70 011806
NY
Other
Enumeration date
11/16/2009
Last updated
12/30/2009
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