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

NICOLE MARIE MORENO, ATC

Active Sole Proprietor

NICOLE MARIE MORENO, ATC is a Athletic Trainer healthcare provider located in OLD WESTBURY, New York. NPI 1316469315 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · OLD WESTBURY, NY

Registration Details

NPI Number
1316469315
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2017 (8.9508736579359 yrs)
Last Updated
Jul 11, 2017
License
002411 (NY)
Sole Proprietor
Yes

Practice Information

Address
NORTHERN BOULEVARD
P.O. BOX 8000
OLD WESTBURY, NY, 11568
Browse NY providers · Browse ZIP 11568
Phone
5166867687
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in OLD WESTBURY, NY

Name Credential NPI
MR. DEAN STEVEN KAMVAKIS ATC 1073660064
MR. ZSOLT A. HAJDU ATC, EMT 1538341318
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.