National Provider Identifier
Ian C Hurlburt, M.S, ATC, CSCS
Ian C Hurlburt, M.S, ATC, CSCS is listed in the NPPES registry with a primary specialty of Athletic Trainer in Canandaigua, NY and a listed phone number of (585) 455-8350.
Profile Overview
- NPI
- 1679088314
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- December 04, 2017
- Last Updated
- December 04, 2017
Practice Location
- 401 S Main St
- Canandaigua, NY 14424-2126
Phone: (585) 455-8350
Mailing Address
- 4554 State Route 364
- Canandaigua, NY 14424-9754
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1679088314
- Entity Type
- Individual
- Last Name
- Hurlburt
- First Name
- Ian
- Middle Name
- C
- Credential
- M.S, ATC, CSCS
- Mailing Street Address
- 4554 State Route 364
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-9754
- Mailing Country
- US
- Practice Street Address
- 401 S Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2126
- Practice Country
- US
- Practice Phone
- (585) 455-8350
- Practice Fax
- (585) 455-8350
- Enumeration Date
- December 04, 2017
- Last Updated
- December 04, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)