National Provider Identifier

Nelson Eric Wu

Nelson Eric Wu is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (917) 562-6048.

NPI 1861023285Ithaca, NYAthletic Trainer

Profile Overview

NPI
1861023285
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: (917) 562-6048

Mailing Address

  • 45 Knolls Dr N
  • New Hyde Park, NY 11040-1147

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1861023285
Entity Type
Individual
Last Name
Wu
First Name
Nelson
Middle Name
Eric
Mailing Street Address
45 Knolls Dr N
Mailing City
New Hyde Park
Mailing State
NY
Mailing ZIP Code
11040-1147
Mailing Country
US
Mailing Phone
(917) 562-6048
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7000
Practice Country
US
Practice Phone
(917) 562-6048
Enumeration Date
February 04, 2020
Last Updated
February 04, 2020
Sex
Male
Sole Proprietor
No
Certification Date
February 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)