Individual
MISS MARTINA L SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
22 ALAN LOOP, STATEN ISLAND, NY 10304-4460
(718) 816-5448
Mailing address
245 MILL RD APT 4H, STATEN ISLAND, NY 10306-4748
(347) 503-6300
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
00974643
NY
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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