Individual
MICHAEL A SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 RIVERSIDE DR, SUITE 109, BINGHAMTON, NY 13905-4176
(607) 770-7074
(607) 770-3452
Mailing address
161 RIVERSIDE DR, SUITE 109, BINGHAMTON, NY 13905-4176
(607) 770-7074
(607) 770-3452
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
162631
NY
207V00000X
Obstetrics & Gynecology Physician
ME133509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00898059
—
NY
Enumeration date
11/30/2006
Last updated
06/05/2023
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