Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA ANN VICENCIO, ATC
ActiveMRS. LISA ANN VICENCIO, ATC is a Athletic Trainer healthcare provider located in PLATTSBURGH, New York. NPI 1235775768 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PLATTSBURGH, NY
Registration Details
- NPI Number
- 1235775768
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2019 (6.747881327978 yrs)
- Last Updated
- Nov 19, 2019
- License
-
000682-1 (NY)
Practice Information
- Address
-
101 BROAD STPLATTSBURGH, NY, 129012637Browse NY providers · Browse ZIP 12901
- Phone
- 5185644152
- Fax
- 5185642558
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PLATTSBURGH, NY
| Name | Credential | NPI |
|---|---|---|
| MR. JASON A. PACHTER | MA, ATC, CSCS | 1932424207 |
| KENTA MIYAZAKI | MS, ATC | 1669911517 |
| MARIA SHAVALIER | — | 1013558071 |
| JONATHAN EDWARDS | ATC | 1639779309 |
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.