Individual
MR. DONALD CAREY-SHAW I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,LAC,WCC
Contact information
Practice address
1 ASTOR AVE, BROOKHAVEN, NY 11719-9760
(516) 578-8187
Mailing address
1 ASTOR AVE, BROOKHAVEN, NY 11719-9760
(516) 578-8187
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
00002588-1
NY
225100000X
Physical Therapist
00005788-1
NY
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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