Individual
CHAYA MICHAL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 CONEY ISLAND AVE, BROOKLYN, NY 11223-2329
(718) 676-4280
Mailing address
915 SETON PL, BROOKLYN, NY 11230-1104
(347) 405-0866
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111069
NY
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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