Individual provider · Type 1 NPI
Corey A. Shaw, DO
Diagnostic Radiology Physician · Fpo, AE
NPI number
1720066830
Active
Practice location
Psc 819 Box 4377
Fpo, AE 09645-0044
Mailing address
150 Sunrise Hwy
Lindenhurst, NY 11757-2539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 302098 (NY) |
| Diagnostic Radiology Physician | 2085R0202X | 0102203234 (VA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Other diagnostic radiology physician providers in Fpo
About NPI 1720066830
Corey A. Shaw, DO's National Provider Identifier is 1720066830, issued on Jan 9, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fpo, AE. The record was last updated on Mar 11, 2020.