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Contact Information

JOHNSHAOMD
289 N PLANK RD
SUITE 3
NEWBURGH, NY12550-1790
 Phone: 845-564-1215
 Fax: 845-553-6102
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHNSHAOMD

NPI # 1205288305
LBN Legal business name JOHNSHAOMD
Authorized official JOHN SHAO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2016
Last updated 07/13/2016 - About 10 years ago
Identifiers
NY License # 232955-1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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