Individual
KYLE E LIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 FOLMER DRIVE, CORTLAND, NY 13045
(315) 272-8167
Mailing address
137 VILLAGE TER # D137, CORTLAND, NY 13045-3411
(315) 272-8167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001900-1
NY
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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