National Provider Identifier
Emily Berg, ATC
Emily Berg, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 255-4237.
Profile Overview
- NPI
- 1720705734
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- October 21, 2022
- Last Updated
- October 21, 2022
Practice Location
- 512 N Campus
- Ithaca, NY 14853-6007
Phone: (607) 255-4237
Mailing Address
- 12110 Creekridge Dr
- East Aurora, NY 14052-9531
Specialties
- Athletic Trainer (2255A2300X)
Endpoints
- eberg1022@gmail.com
Other Url | Ithaca, NY 14853
Email Account
Full Record
- NPI
- 1720705734
- Entity Type
- Individual
- Last Name
- Berg
- First Name
- Emily
- Credential
- ATC
- Mailing Street Address
- 12110 Creekridge Dr
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-9531
- Mailing Country
- US
- Practice Street Address
- 512 N Campus
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-6007
- Practice Country
- US
- Practice Phone
- (607) 255-4237
- Enumeration Date
- October 21, 2022
- Last Updated
- October 21, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 21, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)