Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Shakow

Individual provider Specialist · NPI 1104193838

Nicole Shakow is a Specialist in South Glens Falls, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
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Practice location Address checks out

76 Harrison Ave
South Glens Falls, NY 12803-4912
Phone: (518) 783-9048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 020906-1 (NY)

Record details

NPI number1104193838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2011
Last updated in NPPESNovember 23, 2011

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