National Provider Identifier

Ericka Shaw

Ericka Shaw is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 884-5797.

NPI 1205436581Buffalo, NYCounselor

Profile Overview

NPI
1205436581
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
October 27, 2020
Last Updated
October 27, 2020

Practice Location

  • 1280 Main St
  • Buffalo, NY 14209-1966

Phone: (716) 884-5797

Mailing Address

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1205436581
Entity Type
Individual
Last Name
Shaw
First Name
Ericka
Mailing Street Address
227 Thorn Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2600
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
1280 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1966
Practice Country
US
Practice Phone
(716) 884-5797
Practice Fax
(716) 882-0293
Enumeration Date
October 27, 2020
Last Updated
October 27, 2020
Sex
Female
Sole Proprietor
No
Certification Date
October 27, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)