MEDICARE: MS. PAMELA KAW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	239161	NY

General Provider Information

NPI Number	:	1518919661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA KAW MD

Provider Business Mailing Address
First Line	:	16 WEISHEIT RD
Second Line	:
City	:	GLENMONT
State	:	NY
Zip	:	12077-4000
Country	:	US
Telephone Number	:	518-378-7797
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 STARBUCK DR STE 208
Second Line	:
City	:	GREEN ISLAND
State	:	NY
Zip	:	12183-1280
Country	:	US
Telephone Number	:	518-274-3390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	12/26/2021

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