Jennifer Hope George, ATC

Individual provider Active NPI Athletic Trainer · Skaneateles, NY

NPI 1295966273 · NPPES record last updated Oct 10, 2012

Key facts

NPI
1295966273
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
001225-1 (NY)
Practice address
791 W Genesee Street Rd
Skaneateles, NY 13152-9377
Phone
(315) 685-7544
Fax
(315) 685-7549
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
001225-1NYMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 001225-1 NY Yes

Addresses

Primary practice location

791 W Genesee Street Rd
Skaneateles, NY 13152-9377

Mailing address

791 West Genesee St
Skaneateles, NY 13152
Phone (315) 685-7544

Other providers in Skaneateles, NY

All providers in Skaneateles, NY · Athletic Trainer in New York

Sources for this page

Verify at the official NPI Registry.