Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN ADAM BRUCKNER, LAT, ATC
ActiveJUSTIN ADAM BRUCKNER, LAT, ATC is a Athletic Trainer healthcare provider located in WEST ISLIP, New York. NPI 1225545411 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WEST ISLIP, NY
Registration Details
- NPI Number
- 1225545411
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2018 (8.5604338835714 yrs)
- Last Updated
- Sep 21, 2021
- License
-
RTO000506 (PA)
Practice Information
- Address
-
777 PINE AVEWEST ISLIP, NY, 117952707Browse NY providers · Browse ZIP 11795
- Phone
- 6314561779
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in WEST ISLIP, NY
| Name | Credential | NPI |
|---|---|---|
| MISS SAMANTHA MORGAN WHITNEY | ATC | 1649714965 |
| CARLY DOUGHERTY | — | 1558913459 |
| MR. KEVIN KILKENNY | ATC | 1295303147 |
| PHILIP RYDER | ATC | 1902531593 |
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.