Melinda M Shaw in Syracuse - Physician Assistant

Melinda M Shaw - NPI 1619914942

Melinda M Shaw is a Physician Assistant in Syracuse, New York. Melinda M Shaw practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Melinda M Shaw is 1619914942. The last update date is 2023-03-29.

Melinda M Shaw's current location address is 739 Irving Ave Ste 450, Syracuse, New York. You can contact this provider via phone number 3154707364. The mailing address for Melinda M Shaw is 739 Irving Ave Ste 450, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Melinda M Shaw
Address 739 Irving Ave Ste 450, Syracuse, New York
Phone Number 3154707364
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1619914942
Provider Enumeration Date 2006-06-02
Last Updated Date 2023-03-29

Provider Mailing Address Detail

Address 739 Irving Ave Ste 450
City Syracuse
State New York (NY)
Post Code 132101663
Phone Number 3154707364
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 9177
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2494613 NY --

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FAQs about Melinda M Shaw

What is the unique provider identifier assigned to Melinda M Shaw?

The Melinda M Shaw has been issued the NPI (National Provider Identifier) 1619914942 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Melinda M Shaw?

The Melinda M Shaw is situated at 739 Irving Ave Ste 450, in the city of Syracuse, state of NY, with the zip code 132101663.

Could you please share the complete physical address where Melinda M Shaw is geographically located?

The Melinda M Shaw is physically situated at the following location: 739 Irving Ave Ste 450, Syracuse, NY, 132101663.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619914942 to Melinda M Shaw?

The Centers for Medicare & Medicaid Services originally issued the 1619914942 to Melinda M Shaw on 2006-06-02.

When was the information regarding Melinda M Shaw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Melinda M Shaw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-29.

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