Shaw, Jaclyn

Shaw, Jaclyn is an individual health care provider with primary practice located at 2534 Steinway St , Astoria NY 11103-3702. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Shaw, Jaclyn can be contacted via phone (718) 777-5243.

Contact Information

Primary practice address
2534 Steinway St Astoria NY 11103-3702
Phone: (718) 777-5243
Fax: (718) 777-5250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1649511775
LBN Legal business name Shaw, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2013
Last updated Mar 14th, 2013 - about 11 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.

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