Individual
DANIELLE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1373 SHERIDAN DR APT 3, KENMORE, NY 14217-1261
(315) 723-4048
Mailing address
1373 SHERIDAN DR APT 3, KENMORE, NY 14217-1261
(315) 723-4048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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