National Provider Identifier

Ella Fae Rich

Ella Fae Rich is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 274-3011.

NPI 1528939782Ithaca, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1528939782
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
September 12, 2025
Last Updated
September 12, 2025

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7002

Phone: (607) 274-3011

Mailing Address

  • 6792 Clyde St
  • Forest Hills, NY 11375-4111

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
  • Athletic Trainer (2255A2300X)
Full Record
NPI
1528939782
Entity Type
Individual
Last Name
Rich
First Name
Ella
Middle Name
Fae
Mailing Street Address
6792 Clyde St
Mailing City
Forest Hills
Mailing State
NY
Mailing ZIP Code
11375-4111
Mailing Country
US
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7002
Practice Country
US
Practice Phone
(607) 274-3011
Enumeration Date
September 12, 2025
Last Updated
September 12, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
September 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X), Athletic Trainer (2255A2300X)