National Provider Identifier
Mark M Shaw
Mark M Shaw is listed in the NPPES registry with a primary specialty of Social Worker in Kenmore, NY and a listed phone number of (716) 882-2127.
Profile Overview
- NPI
- 1295296903
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- March 26, 2019
- Last Updated
- March 26, 2019
Practice Location
- 2495 Elmwood Ave
- Kenmore, NY 14217-2222
Phone: (716) 882-2127
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1295296903
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Mark
- Middle Name
- M
- Mailing Street Address
- 2495 Elmwood Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2222
- Mailing Country
- US
- Mailing Phone
- (716) 882-2127
- Mailing Fax
- (716) 882-9277
- Practice Street Address
- 2495 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2222
- Practice Country
- US
- Practice Phone
- (716) 882-2127
- Practice Fax
- (716) 882-9277
- Enumeration Date
- March 26, 2019
- Last Updated
- March 26, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)