Individual
JUSTIN WILLIAM SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-P, PMHNP-BC
Contact information
Practice address
3425 VERNON BLVD, LONG ISLAND CITY, NY 11106-5121
(917) 575-5662
Mailing address
263 FRANKLIN AVE APT 1B, BROOKLYN, NY 11205-3554
(917) 575-5662
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
711620
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403664
NY
Other
Enumeration date
10/25/2017
Last updated
12/28/2021
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