Individual
TIMOTHY CHEESEBORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
953 DANBY RD, ITHACA, NY 14850-7000
(917) 848-7027
Mailing address
809 S AURORA ST, ITHACA, NY 14850-5729
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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