Individual
JOURNYE CORYNNE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
953 DANBY RD, ITHACA, NY 14850-7000
(845) 243-4534
Mailing address
735 CHURCHLAND RD, SAUGERTIES, NY 12477-4626
(845) 243-4534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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