Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE SHAKOW
ActiveNICOLE SHAKOW is a Specialist healthcare provider located in SOUTH GLENS FALLS, New York. NPI 1104193838 is currently active in the NPPES registry. Verify at CMS.
Specialist · SOUTH GLENS FALLS, NY
Registration Details
- NPI Number
- 1104193838
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 23, 2011 (14.713245539408 yrs)
- Last Updated
- Nov 23, 2011
- License
-
020906-1 (NY)
Practice Information
- Address
-
76 HARRISON AVESOUTH GLENS FALLS, NY, 128034912Browse NY providers · Browse ZIP 12803
- Phone
- 5187839048
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SOUTH GLENS FALLS, NY
| Name | Credential | NPI |
|---|---|---|
| JILL ANDREA EATON | OTR | 1366729212 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.