National Provider Identifier

Dylan E Jay, ATC, CSCS

Dylan E Jay, ATC, CSCS is listed in the NPPES registry with a primary specialty of Athletic Trainer in Cheektowaga, NY and a listed phone number of (716) 906-5905.

NPI 1821602665Cheektowaga, NYAthletic Trainer

Profile Overview

NPI
1821602665
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
August 31, 2020
Last Updated
August 31, 2020

Practice Location

  • 4225 Genesee St Ste 400
  • Cheektowaga, NY 14225-1994

Phone: (716) 906-5905

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1821602665
Entity Type
Individual
Last Name
Jay
First Name
Dylan
Middle Name
E
Credential
ATC, CSCS
Mailing Street Address
4225 Genesee St Ste 400
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1994
Mailing Country
US
Mailing Phone
(716) 906-5905
Practice Street Address
4225 Genesee St Ste 400
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1994
Practice Country
US
Practice Phone
(716) 906-5905
Enumeration Date
August 31, 2020
Last Updated
August 31, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
August 31, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)