National Provider Identifier

Merle Cortellucci, M.S., ATC

Merle Cortellucci, M.S., ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Buffalo, NY and a listed phone number of (716) 829-6123.

NPI 1548871643Buffalo, NYAthletic Trainer

Profile Overview

NPI
1548871643
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
August 12, 2020
Last Updated
August 12, 2020

Practice Location

  • 4225 Genesee St
  • Buffalo, NY 14225-1994

Phone: (716) 829-6123

Mailing Address

  • 4225 Genesee St
  • Cheektowaga, NY 14225-1994

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1548871643
Entity Type
Individual
Last Name
Cortellucci
First Name
Merle
Credential
M.S., ATC
Mailing Street Address
4225 Genesee St
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1994
Mailing Country
US
Practice Street Address
4225 Genesee St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14225-1994
Practice Country
US
Practice Phone
(716) 829-6123
Enumeration Date
August 12, 2020
Last Updated
August 12, 2020
Sex
Female
Sole Proprietor
No
Certification Date
August 12, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)
Other Identifiers
1009128 (Nata), 2000000180 (Boc)