Shamow, Jeffrey M
Shamow, Jeffrey M is an individual health care provider with primary practice located at 160 Howells Rd Suite 2, Bay Shore NY 11706-5320. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shamow, Jeffrey M can be contacted via phone (631) 647-7885.Contact Information
Primary practice address
160 Howells Rd Suite 2
Bay Shore NY 11706-5320
Phone: (631) 647-7885
Fax: (631) 647-7893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 011241 | New York |
Profile Details
| NPI number | 1265495600 |
|---|---|
| LBN Legal business name | Shamow, Jeffrey M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265495600 | NPPES |
| New York | MEDICAID | 01473596 |
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