Shaw, Ellen A
Shaw, Ellen A is an individual health care provider with primary practice located at 3959 Broadway Columbia Unversity Department Pediatric, New York NY 10032-1559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Shaw, Ellen A can be contacted via phone (212) 304-7250.Contact Information
Primary practice address
3959 Broadway Columbia Unversity Department Pediatric
New York NY 10032-1559
Phone: (212) 304-7250
Fax: (212) 544-1974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F3810081 | New York |
Profile Details
| NPI number | 1497792667 |
|---|---|
| LBN Legal business name | Shaw, Ellen A |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1497792667 | NPPES |
| New York | MEDICAID | 02752129 | |
| New York | MEDICAID | 0105678 |
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