National Provider Identifier

Mariana Crevison, ATC

Mariana Crevison, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Scottsville, NY and a listed phone number of (585) 794-1805.

NPI 1841731312Scottsville, NYAthletic Trainer

Profile Overview

NPI
1841731312
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
March 16, 2017
Last Updated
December 14, 2017

Practice Location

  • 20 Cedar St
  • Scottsville, NY 14546-1153

Phone: (585) 794-1805

Specialties

  • Athletic Trainer (2255A2300X)
  • Athletic Trainer (2255A2300X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1841731312
Entity Type
Individual
Last Name
Crevison
First Name
Mariana
Credential
ATC
Mailing Street Address
20 Cedar St
Mailing City
Scottsville
Mailing State
NY
Mailing ZIP Code
14546-1153
Mailing Country
US
Mailing Phone
(585) 794-1805
Practice Street Address
20 Cedar St
Practice City
Scottsville
Practice State
NY
Practice ZIP Code
14546-1153
Practice Country
US
Practice Phone
(585) 794-1805
Enumeration Date
March 16, 2017
Last Updated
December 14, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X), Athletic Trainer (2255A2300X), Student in an Organized Health Care Education/Training Program (390200000X)