| Doctor Name: | ARCHIE SHAW |
| NPI Number: | 1154486199 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CASAC |
| License Number: | 9288 |
| Business Practice Address: | 1037 Main St Hudson River Healthcare, Inc. Peekskill, NY - 105662913 |
| Business Phone Number: | 9147348800 |
| Business Fax Number: | 9147348808 |
| Mailing Address: | 1200 Brown St, 4th Floor - Credentialing PEEKSKILL |
| State: | NY |
| Postal Code: | 105663617 |
| Phone Number: | 9147348858 |
| Fax Number: | 9147348745 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 9288 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |