National Provider Identifier

Jocelyn Joy Stark, ATC, CSCS

Jocelyn Joy Stark, ATC, CSCS 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.

NPI 1790334928Ithaca, NYAthletic Trainer

Profile Overview

NPI
1790334928
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
September 10, 2019
Last Updated
September 10, 2019

Practice Location

  • 512 N Campus
  • Ithaca, NY 14853-6007

Phone: (607) 255-4237

Mailing Address

  • 512 Campus Road
  • Teagle Hall, Cornell University
  • Ithaca, NY 14853-6007

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1790334928
Entity Type
Individual
Last Name
Stark
First Name
Jocelyn
Middle Name
Joy
Credential
ATC, CSCS
Mailing Street Address
512 Campus Road
Mailing Address Line 2
Teagle Hall, Cornell University
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14853-6007
Mailing Country
US
Mailing Phone
(607) 255-4237
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
September 10, 2019
Last Updated
September 10, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)