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Individual

PALMA M SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-1800
(315) 464-0247
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-1800
(315) 464-0247

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
219058
NY
2086S0129X
Vascular Surgery Physician
Primary
219058
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02131657
NY
Enumeration date
06/30/2006
Last updated
03/12/2014
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