Kenneth Shaw in Brooklyn - Addiction (substance Use Disorder)

Kenneth Shaw - NPI 1912088287

Kenneth Shaw is a Addiction (substance Use Disorder) in Brooklyn, New York. Kenneth Shaw practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kenneth Shaw is 1912088287. The last update date is 2007-07-08.

Kenneth Shaw's current location address is 175 Remsen St, Brooklyn, New York. You can contact this provider via phone number 7188525552 and fax number 7188525666. The mailing address for Kenneth Shaw is 175 Remsen St, Brooklyn, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Shaw
Address 175 Remsen St, Brooklyn, New York
Phone Number 7188525552
Fax Number 7188525666
Sole Proprietor N
Credentials CASAC

NPI Number Detail

NPI Number 1912088287
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 175 Remsen St
City Brooklyn
State New York (NY)
Post Code 112014300
Phone Number 7188525552
Fax Number 7188525666

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 16758
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Kenneth Shaw

What is the unique 10-digit identification code issued to Kenneth Shaw by the Centers for Medicare & Medicaid Services?

The Kenneth Shaw has been assigned the NPI (National Provider Identifier) 1912088287 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Kenneth Shaw's physical address?

The Kenneth Shaw is physically located at 175 Remsen St, in the city of Brooklyn, NY, with the postal code 112014300.

What is Kenneth Shaw's area of expertise and its corresponding taxonomy classification?

The Kenneth Shaw's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912088287 to Kenneth Shaw?

The Centers for Medicare & Medicaid Services originally issued the 1912088287 to Kenneth Shaw on 2006-10-17.

As of what date were the details related to Kenneth Shaw most recently updated or revised?

The information pertaining to Kenneth Shaw, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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