Judy Cynthia Shaw, LPN is a
Licensed Practical Nurse based in Salem, New York. Judy Cynthia Shaw is licensed to practice in New York (license number 266880-1) and her current practice location is
4384 State Route 29, Salem, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 854-3974.
NPI number for Judy Cynthia Shaw is 1154556447 and her current mailing address is 4384 State Route 29, Salem, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154556447.
Provider's Profile
| Full Name | Judy Cynthia Shaw |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 4384 State Route 29, Salem, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154556447
- Provider Enumeration Date: 05/15/2009
- Last Update Date: 05/18/2009
Medical Identifiers
Medical identifiers for Judy Cynthia Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154556447 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 266880-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judy Cynthia Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Judy Cynthia Shaw, LPN
4384 State Route 29,
Salem, NY 12865-3620
Ph: (518) 854-3974 | Judy Cynthia Shaw, LPN
4384 State Route 29,
Salem, NY 12865-3620
Ph: (518) 854-3974 |
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