National Provider Identifier

Jason Mouyeos, ATC

Jason Mouyeos, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 645-6829.

NPI 1477907251Buffalo, NYAthletic Trainer

Profile Overview

NPI
1477907251
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
April 19, 2016
Last Updated
April 19, 2016

Practice Location

  • University At Buffalo
  • Stadium Complex Rm 130
  • Buffalo, NY 14260-0001

Phone: (716) 645-6829

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1477907251
Entity Type
Individual
Last Name
Mouyeos
First Name
Jason
Name Prefix
Mr.
Credential
ATC
Mailing Street Address
University At Buffalo
Mailing Address Line 2
Stadium Complex Rm 130
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14260-0001
Mailing Country
US
Mailing Phone
(716) 645-6829
Mailing Fax
(716) 645-5574
Practice Street Address
University At Buffalo
Practice Address Line 2
Stadium Complex Rm 130
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14260-0001
Practice Country
US
Practice Phone
(716) 645-6829
Practice Fax
(716) 645-5574
Enumeration Date
April 19, 2016
Last Updated
April 19, 2016
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)