National Provider Identifier
Grace Wang
Grace Wang is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 274-1456.
Profile Overview
- NPI
- 1033946082
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (607) 274-1456
Mailing Address
- 5134 Worthington Dr
- Bethesda, MD 20816-2730
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1033946082
- Entity Type
- Individual
- Last Name
- Wang
- First Name
- Grace
- Mailing Street Address
- 5134 Worthington Dr
- Mailing City
- Bethesda
- Mailing State
- MD
- Mailing ZIP Code
- 20816-2730
- Mailing Country
- US
- Mailing Phone
- (240) 515-7988
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (607) 274-1456
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)