Individual
JANA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
238 ARSENAL ST, WATERTOWN, NY 13601-2504
(315) 782-6400
(315) 782-1330
Mailing address
20830 CAGWIN RD, WATERTOWN, NY 13601-5364
(315) 782-6400
(315) 782-1330
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
239174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462559
—
NY
01
—
239174
LICENSE NUMBER
NY
Enumeration date
06/02/2006
Last updated
10/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us