IndividualActive
Brian Shaw, D.O.
NPI 1578890570 · Interventional Cardiology Physician · Ithaca, NY
Provider details
- NPI number
- 1578890570
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- OS015512 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
201 Dates Dr Ste 101
Ithaca, NY 14850-1345
Phone: (215) 840-6142
Approximate (ZIP-level) locationGet directions
Mailing address
201 Dates Dr Ste 101
Ithaca, NY 14850-1345
Registry dates
- Enumerated
- 2009-11-11
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.