Shaw, Brian R.

Shaw, Brian R. is an individual health care provider with primary practice located at 201 Dates Dr Ste 101 , Ithaca NY 14850-1345. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Shaw, Brian R. can be contacted via phone (215) 840-6142.

Contact Information

Primary practice address
201 Dates Dr Ste 101 Ithaca NY 14850-1345
Phone: (215) 840-6142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS015512 Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 310717-01 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MB08946200 New Jersey
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 310717-01 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OT012650 Pennsylvania

Profile Details

NPI number 1578890570
LBN Legal business name Shaw, Brian R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2009
Last updated Mar 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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