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Mia Shaw
NPI 1467367268 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1461 Gates Ave Apt 1e
Brooklyn, NY 11237 - Phone
- (919) 623-2739
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York