Individual
KWAME SHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 E 188TH ST, 4TH FLOOR, BRONX, NY 10458-5302
(718) 960-0447
(718) 933-8208
Mailing address
926 ST. JOHN'S PL., BROOKLYN, NY 11213
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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