Individual
ERIC GORGON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5535
(315) 492-8690
Mailing address
20830 CAGWIN RD, WATERTOWN, NY 13601-5364
(315) 583-5304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
224829
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02650246
—
NY
01
—
P00869153
RAILROAD MEDICARE
NY
Enumeration date
03/28/2006
Last updated
08/14/2013
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