ADRIAN WESTERN

ITHACA, NY
NPI1649691767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  001791-1)
Enumeration Date2013-12-16
Last Update Date2013-12-16
Business Address
Mr. ADRIAN WESTERN MS, ATC
310 TAUGHANNOCK BLVD STE 5A
ITHACA, NY 14850-3251
Phone number: 607-252-3580
Mailing Address
Mr. ADRIAN WESTERN MS, ATC
559 BROOKTONDALE RD
BROOKTONDALE, NY 14817-9401
Phone number:
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