Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Warren Thomas Shaw III

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427516871

Warren Thomas Shaw III is a Student in an Organized Health Care Education/Training Program in Ithaca, New York. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

953 Danby Rd
Ithaca, NY 14850-7002
Phone: (607) 274-3011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427516871
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESMarch 5, 2019
Mailing address2 Longview Dr, Clifton Park, NY 12065-2326

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