National Provider Identifier
Logan Claypoole Ninos
Logan Claypoole Ninos 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.
Profile Overview
- NPI
- 1538792767
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- February 17, 2020
- Last Updated
- February 17, 2020
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7000
Phone: (607) 274-3011
Mailing Address
- 1133 Wynnewood Dr
- Northampton, PA 18067-8711
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1538792767
- Entity Type
- Individual
- Last Name
- Ninos
- First Name
- Logan
- Middle Name
- Claypoole
- Mailing Street Address
- 1133 Wynnewood Dr
- Mailing City
- Northampton
- Mailing State
- PA
- Mailing ZIP Code
- 18067-8711
- Mailing Country
- US
- Mailing Phone
- (484) 894-9221
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7000
- Practice Country
- US
- Practice Phone
- (607) 274-3011
- Enumeration Date
- February 17, 2020
- Last Updated
- February 17, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 17, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)