Individual
KIANA MARIE TELANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
953 DANBY RD, ITHACA, NY 14850-7000
(631) 317-3107
Mailing address
1 SCHENK DR, SHIRLEY, NY 11967-2609
(631) 317-3107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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