Individual
MATTHEW SHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
469 FASHION AVE FL 6, NEW YORK, NY 10018-7605
(212) 502-1803
Mailing address
469 FASHION AVE FL 6, NEW YORK, NY 10018-7605
(212) 502-1803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011181-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320138214
TAX IDENTIFICATION NUMBER
NY
Enumeration date
03/20/2007
Last updated
02/22/2023
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