National Provider Identifier
Timothy Cheeseboro
Timothy Cheeseboro is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (917) 848-7027.
Profile Overview
- NPI
- 1285461251
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7000
Phone: (917) 848-7027
Mailing Address
- 809 S Aurora St
- Ithaca, NY 14850-5729
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1285461251
- Entity Type
- Individual
- Last Name
- Cheeseboro
- First Name
- Timothy
- Mailing Street Address
- 809 S Aurora St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5729
- 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
- (917) 848-7027
- Enumeration Date
- September 16, 2024
- Last Updated
- September 16, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)