Nicole Shakow

NPI #1104193838 in South Glens Falls, New York

Provider Information

NPI Number: 1104193838
Entity Type: Individual
Name: Nicole Shakow
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 23, 2011
Last Updated: Nov 23, 2011

Practice Location

Address: 76 HARRISON AVE
City: South Glens Falls
State: New York
ZIP Code: 12803-4912
Phone: (518) 783-9048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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