National Provider Identifier
Warren Thomas Shaw III
Warren Thomas Shaw III is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 274-3011.
Profile Overview
- NPI
- 1427516871
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- March 05, 2019
- Last Updated
- March 05, 2019
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (607) 274-3011
Mailing Address
- 2 Longview Dr
- Clifton Park, NY 12065-2326
Specialties
- Athletic Trainer (2255A2300X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1427516871
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Warren
- Middle Name
- Thomas
- Name Suffix
- III
- Mailing Street Address
- 2 Longview Dr
- Mailing City
- Clifton Park
- Mailing State
- NY
- Mailing ZIP Code
- 12065-2326
- Mailing Country
- US
- Mailing Phone
- (518) 915-0497
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (607) 274-3011
- Enumeration Date
- March 05, 2019
- Last Updated
- March 05, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X), Student in an Organized Health Care Education/Training Program (390200000X)