NPI 1023616638

Eilise Maeve Shaw

Practitioner Peer Specialist Buffalo, NY

Practice location

Address: 430 Niagara St, Buffalo, NY 14201-1886
Phone: (716) 853-1335

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1023616638
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Oct 2020
Record last updated: 15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.