National Provider Identifier

Kiana Marie Telano

Kiana Marie Telano is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (631) 317-3107.

NPI 1821621392Ithaca, NYAthletic Trainer

Profile Overview

NPI
1821621392
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
February 12, 2020
Last Updated
February 12, 2020

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7000

Phone: (631) 317-3107

Mailing Address

  • 1 Schenk Dr
  • Shirley, NY 11967-2609

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1821621392
Entity Type
Individual
Last Name
Telano
First Name
Kiana
Middle Name
Marie
Mailing Street Address
1 Schenk Dr
Mailing City
Shirley
Mailing State
NY
Mailing ZIP Code
11967-2609
Mailing Country
US
Mailing Phone
(631) 317-3107
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7000
Practice Country
US
Practice Phone
(631) 317-3107
Enumeration Date
February 12, 2020
Last Updated
February 12, 2020
Sex
Female
Sole Proprietor
No
Certification Date
February 12, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)