ETHAN BURK

ITHACA, NY
NPI1316616535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2021-09-10
Last Update Date2021-09-10
Business Address
ETHAN BURK
953 DANBY RD
ITHACA, NY 14850-7000
Phone number: 607-274-1456
Mailing Address
ETHAN BURK
47 OXBOW LN
ALBANY, NH 03818-6056
Phone number: