| Dominique M Shaw, MD | |
|
264 W 118th St, New York, NY 10026-1620 | |
| (212) 932-6500 | |
| Not Available |
| Full Name | Dominique M Shaw |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 264 W 118th St, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871544536 | NPI | - | NPPES |
| 51655 | Other | AZ | MEDICAL LICENSE NUMBER |
| A87149 | Other | CA | MEDICAL LICENSE NUMBER |
| 282753 | Other | NY | MEDICAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A87149 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 282753 (New York) | Primary |
| Entity Name | New York City Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique M Shaw, MD 7717b 247th St, Bellerose, NY 11426-1830 Ph: (310) 600-8263 | Dominique M Shaw, MD 264 W 118th St, New York, NY 10026-1620 Ph: (212) 932-6500 |
Priyanka Ghosh, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1790 Broadway, New York, NY 10019 Phone: 646-756-8282 | |
Emily Michelle Weidenbaum, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5506 | |
Dr. Bhadra B Shah, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 303 Second Ave, Suite 9, New York, NY 10003 Phone: 212-777-3920 Fax: 212-614-9376 | |
Susan Rothenberg, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10 Union Sq E, New York, NY 10003 Phone: 212-420-4236 | |
Janet Stein, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10 Union Sq E, New York, NY 10003 Phone: 212-420-2577 | |
Isaac Kligman, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1305 York Ave, 6th Floor, New York, NY 10021 Phone: 646-962-3814 Fax: 646-962-0311 | |
Dr. Melinda Huang, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 215 E 95th St, New York, NY 10128 Phone: 212-996-8000 Fax: 212-423-4644 |