IndividualActive
Adam Long, ATC, CES, PES
NPI 1629310685 · Athletic Trainer · Ithaca, NY
Provider details
- NPI number
- 1629310685
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, CES, PES
- Sex
- Male
- Sole proprietor
- No
- License
- 001751 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
310 Taughannock Blvd Ste 5a
Ithaca, NY 14850-3251
Phone: (607) 252-3580
Fax: (607) 252-3971
Approximate (ZIP-level) locationGet directions
Mailing address
310 Taughannock Blvd Ste 5a
Ithaca, NY 14850-3251
Registry dates
- Enumerated
- 2013-03-18
- Last updated
- 2013-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.