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Individual

MRS. JUDY KELLY SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ANP-C

Contact information

Practice address
113 HOLLAND AVE, MC 111D, VAMC, ALBANY, NY 12208
(518) 626-6421
(518) 626-6564
Mailing address
167 WINDY HILL RD, GREENWICH, NY 12834
(518) 695-4677
(518) 695-9621

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F331353-1
NY

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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