Ronald Edward Chrysler II
Student in an Organized Health Care Education/Training Program in Cortland, NY. Individual provider (NPI-1).
NPI number1982201364
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1982201364
- Entity type
- Individual (NPI-1)
- Name
- Ronald Edward Chrysler II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2020
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | NY |
Practice location
32 Graham AveCortland, NY 13045-2452
Phone 607-753-2011
Mailing address
3298 Seal RdMarcellus, NY 13108-8621
Phone 315-416-8612
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All 14 Student in an Organized Health Care Education/Training Program providers in Cortland · All 903 providers in Cortland
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