JACQUELINE ANNE SHAW

SOUTHAMPTON, NY
NPI1982144911
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-02-23
Last Update Date2019-07-26
Business Address
Mrs. JACQUELINE ANNE SHAW PA-C
686 COUNTY ROAD 39A
SOUTHAMPTON, NY 11968-5703
Phone number: 631-283-0355
Mailing Address
Mrs. JACQUELINE ANNE SHAW PA-C
635 BELLE TERRE RD STE 204
PORT JEFFERSON, NY 11777-1977
Phone number: 631-283-0355
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