National Provider Identifier
Eilise Maeve Shaw
Eilise Maeve Shaw is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 853-1335.
Profile Overview
- NPI
- 1023616638
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- October 15, 2020
- Last Updated
- October 15, 2020
Practice Location
- 430 Niagara St
- Buffalo, NY 14201-1886
Phone: (716) 853-1335
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1023616638
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Eilise
- Middle Name
- Maeve
- Mailing Street Address
- 430 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14201-1886
- Mailing Country
- US
- Mailing Phone
- (716) 853-1335
- Practice Street Address
- 430 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1886
- Practice Country
- US
- Practice Phone
- (716) 853-1335
- Enumeration Date
- October 15, 2020
- Last Updated
- October 15, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 15, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)