Susan Mary Wielgosz in Brockport - Athletic Trainer
Susan Mary Wielgosz - NPI 1720018385
Susan Mary Wielgosz is a Athletic Trainer in Brockport, New York. Susan Mary Wielgosz practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Susan Mary Wielgosz is 1720018385. The last update date is 2007-07-08.
Susan Mary Wielgosz's current location address is 350 New Campus Dr, Brockport, New York. You can contact this provider via phone number 5853955358. The mailing address for Susan Mary Wielgosz is 350 New Campus Dr, Brockport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Mary Wielgosz |
|---|---|
| Address | 350 New Campus Dr, Brockport, New York |
| Phone Number | 5853955358 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1720018385 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 350 New Campus Dr |
|---|---|
| City | Brockport |
| State | New York (NY) |
| Post Code | 1442029970 |
| Phone Number | 5853955358 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 000027-1 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique provider identifier assigned to Susan Mary Wielgosz?
The Susan Mary Wielgosz has been issued the NPI (National Provider Identifier) 1720018385 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Susan Mary Wielgosz's physical address?
The Susan Mary Wielgosz is physically located at 350 New Campus Dr, in the city of Brockport, NY, with the postal code 1442029970.
What is the area of specialization for Susan Mary Wielgosz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Mary Wielgosz is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
On what date did the Susan Mary Wielgosz receive its 1720018385 assignment from the Centers for Medicare & Medicaid Services?
The Susan Mary Wielgosz was assigned its 1720018385 by the Centers for Medicare & Medicaid Services on 2006-07-03.
As of what date was the information regarding Susan Mary Wielgosz, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Mary Wielgosz, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.