Eilise Maeve Shaw

NPI #1023616638 in Buffalo, New York

Provider Information

NPI Number: 1023616638
Entity Type: Individual
Name: Eilise Maeve Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 430 NIAGARA ST
City: Buffalo
State: New York
ZIP Code: 14201-1886
Phone: (716) 853-1335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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