Spencer Shaw
Gastroenterologist
30 Greenridge Ave
White Plains
, New York 10605-1237
Spencer Shaw
Gastroenterologist
30 Greenridge Ave
White Plains
, New York 10605-1237
(914) 593-7881
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Spencer Shaw
- Po Box 5801
- New York, NY
- Zip : 10087-5801
- Fax : (914) 593-7881
- Phone : (914) 593-7880
Second Address
- Spencer Shaw
- 30 Greenridge Ave
- White Plains, NY
- Zip : 10605-1237
- Fax : (914) 593-7881
- Phone : (914) 328-8555
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 109224 | NY |
National Provider Identifier
| NPI | 1053329797 |
|---|---|
| Provider Name | Spencer Shaw |
| First Address | New York, NY 10087-5801 |
| Second Address | White Plains, NY 10605-1237 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 03/04/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E51307 | (02) | NY |
| P00600058 | RR MEDICARE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.