National Provider Identifier
Nicole Brown
Nicole Brown is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (585) 430-0365.
Profile Overview
- NPI
- 1447882568
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 06, 2020
- Last Updated
- February 14, 2020
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7002
Phone: (585) 430-0365
Mailing Address
- 27 Keswick Way
- Fairport, NY 14450-3218
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1447882568
- Entity Type
- Individual
- Last Name
- Brown
- First Name
- Nicole
- Mailing Street Address
- 27 Keswick Way
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3218
- Mailing Country
- US
- Mailing Phone
- (585) 430-0365
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7002
- Practice Country
- US
- Practice Phone
- (585) 430-0365
- Enumeration Date
- February 06, 2020
- Last Updated
- February 14, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 14, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)