Shaw, John J
Shaw, John J is an sole proprietor health care provider with primary practice located at 127 S Broadway , Nyack NY 10960-4433. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Shaw, John J can be contacted via phone (845) 358-4591.Contact Information
Primary practice address
127 S Broadway
Nyack NY 10960-4433
Phone: (845) 358-4591
Fax: (845) 358-4591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6099 | New York |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 006099 | New York |
Profile Details
| NPI number | 1144380254 |
|---|---|
| LBN Legal business name | Shaw, John J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Mar 31st, 2020 - about 4 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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