Individual provider · Type 1 NPI

Samantha N. Shaw

Specialist · Ballston Spa, NY

NPI number 1952230385 Active

Practice location

31010 Squaw Creek Trl
Ballston Spa, NY 12020-2699

Call (845) 389-5166 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1952230385

Samantha N. Shaw's National Provider Identifier is 1952230385, issued on May 13, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ballston Spa, NY. The record was last updated on May 13, 2026.