Individual
DR. JOHN S SHIAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1099 TARGEE STREET, STATEN ISLAND, NY 10304-4310
(718) 448-3210
(718) 815-3379
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 967-6023
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
1915601
NY
207T00000X
Neurological Surgery Physician
MA067801
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01920103
—
NY
Enumeration date
11/09/2005
Last updated
06/24/2011
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