Individual
EMILY CHRISTINE BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5795 LEWISTON RD, NIAGARA UNIVERSITY, NY 14109-9809
(716) 286-8612
(716) 286-8656
Mailing address
5795 LEWISTON RD, NIAGARA UNIVERSITY, NY 14109-9809
(716) 286-8612
(716) 286-8656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003484
NY
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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