National Provider Identifier

Gregory David Bean, M.S., ATC, CSCS

Gregory David Bean, M.S., ATC, CSCS is listed in the NPPES registry with a primary specialty of Athletic Trainer in Orchard Park, NY and a listed phone number of (716) 270-2865.

NPI 1649635905Orchard Park, NYAthletic Trainer

Profile Overview

NPI
1649635905
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
December 30, 2015
Last Updated
December 30, 2015

Practice Location

  • 4041 Southwestern Blvd
  • Orchard Park, NY 14127-2100

Phone: (716) 270-2865

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1649635905
Entity Type
Individual
Last Name
Bean
First Name
Gregory
Middle Name
David
Credential
M.S., ATC, CSCS
Mailing Street Address
4041 Southwestern Blvd
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2100
Mailing Country
US
Mailing Phone
(716) 270-2865
Mailing Fax
(716) 270-2827
Practice Street Address
4041 Southwestern Blvd
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2100
Practice Country
US
Practice Phone
(716) 270-2865
Practice Fax
(716) 270-2827
Enumeration Date
December 30, 2015
Last Updated
December 30, 2015
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)