National Provider Identifier
Adam J Long, ATC, CES, PES
Adam J Long, ATC, CES, PES is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 252-3580.
Profile Overview
- NPI
- 1629310685
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- March 18, 2013
- Last Updated
- March 18, 2013
Practice Location
- 310 Taughannock Blvd Ste 5A
- Ithaca, NY 14850-3251
Phone: (607) 252-3580
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1629310685
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Adam
- Middle Name
- J
- Credential
- ATC, CES, PES
- Mailing Street Address
- 310 Taughannock Blvd Ste 5A
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3251
- Mailing Country
- US
- Practice Street Address
- 310 Taughannock Blvd Ste 5A
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 252-3580
- Practice Fax
- (607) 252-3971
- Enumeration Date
- March 18, 2013
- Last Updated
- March 18, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)