Individual provider · Type 1 NPI
Nicole Shakow
Specialist · South Glens Falls, NY
NPI number
1104193838
Active
Practice location
76 Harrison Ave
South Glens Falls, NY 12803-4912
Mailing address
9 Quevic Dr
Saratoga Springs, NY 12866-9023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 020906-1 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in South Glens Falls
About NPI 1104193838
Nicole Shakow's National Provider Identifier is 1104193838, issued on Nov 23, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Glens Falls, NY. The record was last updated on Nov 23, 2011.