Individual
EDEN PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1 WILLARD AVE, HOUGHTON, NY 14744-8732
(585) 567-9200
Mailing address
164 BRUNSWICK ST, ROCHESTER, NY 14607-3009
(607) 661-9864
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002764
NY
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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