Individual
CAITLIN ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
33 MITCHELL AVE, BINGHAMTON, NY 13903-1642
(607) 771-2220
Mailing address
33 MITCHELL AVE, BINGHAMTON, NY 13903-1642
(607) 771-2220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002620
NY
2255A2300X
Athletic Trainer
RT005465
PA
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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