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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BIANCA BLAZE LUPARELLO, ATC

Active Sole Proprietor

BIANCA BLAZE LUPARELLO, ATC is a Athletic Trainer healthcare provider located in PORT WASHINGTON, New York. NPI 1225672736 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PORT WASHINGTON, NY

Registration Details

NPI Number
1225672736
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2019 (6.8291189617859 yrs)
Last Updated
Oct 29, 2019
Sole Proprietor
Yes

Practice Information

Address
73 CARLTON AVE APT C39
PORT WASHINGTON, NY, 110503548
Browse NY providers · Browse ZIP 11050
Phone
5164914117
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PORT WASHINGTON, NY

Name Credential NPI
MR. FREDERICK G ZAPPALA ATC 1841257052
CAITLIN HITSOUS FITZPATRICK 1316548605
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.