BRIAN R. SHAW

ITHACA, NY
NPI1578890570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: NY  310717-01)
Additional Taxonomies207R00000X Internal Medicine
(Licence: PA  OS015512)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NY  310717-01)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NJ  25MB08946200)
207R00000X Internal Medicine
(Licence: PA  OT012650)
Enumeration Date2009-11-11
Last Update Date2024-03-19
Business Address
BRIAN R. SHAW D.O.
201 DATES DR STE 101
ITHACA, NY 14850-1345
Phone number: 215-840-6142
Mailing Address
BRIAN R. SHAW D.O.
201 DATES DR STE 101
ITHACA, NY 14850-1345
Phone number: 607-272-0460