Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN R. SHAW, D.O.
ActiveBRIAN R. SHAW, D.O. is a Hospice and Palliative Medicine healthcare provider located in ITHACA, New York. NPI 1578890570 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · ITHACA, NY
Registration Details
- NPI Number
- 1578890570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 11, 2009 (16.784581889001 yrs)
- Last Updated
- Mar 19, 2024
- Licenses
-
OS015512 (PA)310717-01 (NY)25MB08946200 (NJ)310717-01 (NY)OT012650 (PA)
Practice Information
- Address
-
201 DATES DR STE 101ITHACA, NY, 148501345Browse NY providers · Browse ZIP 14850
- Phone
- 2158406142
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Hospice and Palliative Medicine
- Additional Specialty
- Internal Medicine
Other Hospice and Palliative Medicine Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| DR. MARCIS TOTS SODUMS | MD | 1295700862 |
| STEPHANIE L GOODWIN | DO | 1699740738 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.