Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN PATRICK RENIEDO ACOSTA, A.T.C.
Active Sole ProprietorJOHN PATRICK RENIEDO ACOSTA, A.T.C. is a Athletic Trainer healthcare provider located in VALLEY STREAM, New York. NPI 1225305014 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · VALLEY STREAM, NY
Registration Details
- NPI Number
- 1225305014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2011 (14.688839467378 yrs)
- Last Updated
- Nov 21, 2011
- License
-
002196-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1046 MARCH DRVALLEY STREAM, NY, 115801841Browse NY providers · Browse ZIP 11580
- Phone
- 5515879223
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in VALLEY STREAM, NY
| Name | Credential | NPI |
|---|---|---|
| KAYLA SIPPIN | — | 1679015184 |
| ANNETTE JAVIER | — | 1356089122 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.