IndividualActive
Nicole Shakow
NPI 1104193838 · Specialist · South Glens Falls, NY
Nicole Shakow is a Specialist provider in South Glens Falls, NY (NPI 1104193838).
Provider details
- NPI number
- 1104193838
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 020906-1 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
76 Harrison Ave
South Glens Falls, NY 12803-4912
Phone: (518) 783-9048
Street-level locationGet directions
Mailing address
9 Quevic Dr
Saratoga Springs, NY 12866-9023
Registry dates
- Enumerated
- 2011-11-23
- Last updated
- 2011-11-23
Frequently asked questions
- What is Nicole Shakow's NPI number?
- Nicole Shakow's National Provider Identifier (NPI) is 1104193838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Shakow's specialty?
- Nicole Shakow is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Nicole Shakow located?
- Nicole Shakow's practice location on file with NPPES is 76 Harrison Ave, South Glens Falls, NY 12803-4912.
- What is Nicole Shakow's phone number?
- The practice phone number listed in the NPPES registry for Nicole Shakow is (518) 783-9048.
- Is Nicole Shakow's NPI active?
- Yes — Nicole Shakow's NPI (1104193838) is active in the NPPES registry as of the last update on 2011-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.