Individual
RYAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1709 CAMPUS DR, VESTAL, NY 13850-4040
(607) 341-2650
Mailing address
1709 CAMPUS DR, VESTAL, NY 13850-4040
(607) 341-2650
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002238
NY
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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