National Provider Identifier
Bernard Shaw, PA
Bernard Shaw, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 341-6880.
Profile Overview
- NPI
- 1891286878
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 24, 2018
- Last Updated
- June 30, 2023
Practice Location
- 1000 South Ave
- Rochester, NY 14620-2733
Phone: (585) 341-6880
Mailing Address
- 601 Elmwood Ave Box 655-B
- Rochester, NY 14642-8655
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1891286878
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Bernard
- Credential
- PA
- Mailing Street Address
- 601 Elmwood Ave Box 655-B
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8655
- Mailing Country
- US
- Mailing Phone
- (585) 341-3015
- Practice Street Address
- 1000 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 341-6880
- Enumeration Date
- May 24, 2018
- Last Updated
- June 30, 2023
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)