Individual provider · Type 1 NPI

Izabella Roth

Student in an Organized Health Care Education/Training Program · Ithaca, NY

NPI number 1265101299 Active

Practice location

953 Danby Rd
Ithaca, NY 14850-7000

Call (585) 203-2611 Map

Mailing address

35 York St
Honeoye Falls, NY 14472-1111

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265101299

Izabella Roth's National Provider Identifier is 1265101299, issued on Sep 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ithaca, NY. The record was last updated on Sep 13, 2021.