Individual
KYNYZIAH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1084 ROGERS AVE APT 5D, BROOKLYN, NY 11226-8430
(646) 327-3163
Mailing address
1084 ROGERS AVE APT 5D, BROOKLYN, NY 11226-8430
(646) 327-3163
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
812851
NY
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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