National Provider Identifier
Dwayne Brinson, ISSA CERTIFICATION
Dwayne Brinson, ISSA CERTIFICATION is listed in the NPPES registry with a primary specialty of Athletic Trainer in Williamsville, NY and a listed phone number of (716) 632-1742.
Profile Overview
- NPI
- 1841602661
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- May 28, 2014
- Last Updated
- May 28, 2014
Practice Location
- 6789 Main St
- Williamsville, NY 14221-5907
Phone: (716) 632-1742
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1841602661
- Entity Type
- Individual
- Last Name
- Brinson
- First Name
- Dwayne
- Name Prefix
- Mr.
- Credential
- ISSA CERTIFICATION
- Mailing Street Address
- 6789 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5907
- Mailing Country
- US
- Mailing Phone
- (716) 632-1742
- Practice Street Address
- 6789 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5907
- Practice Country
- US
- Practice Phone
- (716) 632-1742
- Enumeration Date
- May 28, 2014
- Last Updated
- May 28, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)