Justinian Evangelos Michaels

Athletic Trainer · Ithaca, NY

Individual Active NPI

NPI number 1316405764

Practice location

953 Danby Rd
Ithaca, NY 14850-7000
Phone
(845) 558-7761

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NPI record

NPI
1316405764
Entity type
Individual (Type 1)
Enumeration date
March 5, 2019
Last updated
March 5, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

About Justinian Michaels

Justinian Evangelos Michaels is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 953 Danby Rd, Ithaca, NY 14850-7000. The NPI number 1316405764 was assigned on March 5, 2019 and the record was last updated on March 5, 2019.

Frequently asked questions

What is the NPI number of Justinian Evangelos Michaels?

The NPI number is 1316405764.

What is the phone number of Justinian Michaels?

The phone number listed for the practice location is (845) 558-7761.

Where is Justinian Michaels located?

953 Danby Rd, Ithaca, NY 14850-7000.

What is the taxonomy code for Justinian Michaels?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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