Individual
EMILY BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
512 N CAMPUS, ITHACA, NY 14853-6007
(607) 255-4237
Mailing address
12110 CREEKRIDGE DR, EAST AURORA, NY 14052-9531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000052416
NY
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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