National Provider Identifier
Samantha Ruiz
Samantha Ruiz is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (315) 398-0148.
Profile Overview
- NPI
- 1790317139
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 04, 2020
- Last Updated
- February 04, 2020
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7000
Phone: (315) 398-0148
Mailing Address
- 100 Wilkinson RD
- Macedon, NY 14502-9713
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1790317139
- Entity Type
- Individual
- Last Name
- Ruiz
- First Name
- Samantha
- Mailing Street Address
- 100 Wilkinson RD
- Mailing City
- Macedon
- Mailing State
- NY
- Mailing ZIP Code
- 14502-9713
- Mailing Country
- US
- Mailing Phone
- (315) 398-0148
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7000
- Practice Country
- US
- Practice Phone
- (315) 398-0148
- Enumeration Date
- February 04, 2020
- Last Updated
- February 04, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 04, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)