National Provider Identifier

Miria Teneza

Miria Teneza is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (410) 443-1568.

NPI 1225596679Ithaca, NYAthletic Trainer

Profile Overview

NPI
1225596679
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
March 05, 2019
Last Updated
March 05, 2019

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7000

Phone: (410) 443-1568

Specialties

  • Athletic Trainer (2255A2300X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1225596679
Entity Type
Individual
Last Name
Teneza
First Name
Miria
Mailing Street Address
953 Danby RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-7000
Mailing Country
US
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7000
Practice Country
US
Practice Phone
(410) 443-1568
Enumeration Date
March 05, 2019
Last Updated
March 05, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X), Student in an Organized Health Care Education/Training Program (390200000X)