| NPI | 1336709534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN RYAN BISHOP Assistant Athletic Trainer 315-268-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |