National Provider Identifier

Scott Patrick Mastrobattista, MSED, ATC

Scott Patrick Mastrobattista, MSED, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Niagara University, NY and a listed phone number of (716) 286-8642.

NPI 1457311383Niagara University, NYAthletic Trainer

Profile Overview

NPI
1457311383
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
March 24, 2006
Last Updated
July 08, 2007

Practice Location

  • Niagara University
  • Niagara University, NY 14109

Phone: (716) 286-8642

Mailing Address

  • 6432 White Oak Way
  • Lakeview, NY 14085-9573

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1457311383
Entity Type
Individual
Last Name
Mastrobattista
First Name
Scott
Middle Name
Patrick
Name Prefix
Mr.
Credential
MSED, ATC
Mailing Street Address
6432 White Oak Way
Mailing City
Lakeview
Mailing State
NY
Mailing ZIP Code
14085-9573
Mailing Country
US
Mailing Phone
(716) 627-5754
Practice Street Address
Niagara University
Practice City
Niagara University
Practice State
NY
Practice ZIP Code
14109
Practice Country
US
Practice Phone
(716) 286-8642
Practice Fax
(716) 286-8656
Enumeration Date
March 24, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)