Individual
CATHERINE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 10TH AVE, NEW YORK, NY 10019-1147
(207) 321-1946
Mailing address
1 CAMPUS RD, STATEN ISLAND, NY 10301-4495
(207) 321-1946
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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