NPI 1720066830

Corey a Shaw, DO

Practitioner Diagnostic Radiology Physician Fpo, AE

Practice location

Address: Psc 819 Box 4377, Fpo, AE 09645-0044
Phone: 34956823431
Mailing address: 150 Sunrise Hwy, Lindenhurst, NY 11757-2539

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 302098 (NY)

Other Radiology providers in Armed Forces Europe →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 0102203234 (VA)

Registry record

NPI: 1720066830
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2006
Record last updated: 11 Mar 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.