National Provider Identifier
Cody Cornelius
Cody Cornelius is listed in the NPPES registry with a primary specialty of Athletic Trainer in Newark, NY and a listed phone number of (585) 683-9308.
Profile Overview
- NPI
- 1659812121
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- March 16, 2017
- Last Updated
- March 16, 2017
Practice Location
- 1401 Summit Dr
- Newark, NY 14513-8904
Phone: (585) 683-9308
Specialties
- Athletic Trainer (2255A2300X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1659812121
- Entity Type
- Individual
- Last Name
- Cornelius
- First Name
- Cody
- Mailing Street Address
- 1401 Summit Dr
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-8904
- Mailing Country
- US
- Practice Street Address
- 1401 Summit Dr
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-8904
- Practice Country
- US
- Practice Phone
- (585) 683-9308
- Enumeration Date
- March 16, 2017
- Last Updated
- March 16, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X), Student in an Organized Health Care Education/Training Program (390200000X)