Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SCOTT DAVID GRUDER, MSED, ATC, CSCS
ActiveMR. SCOTT DAVID GRUDER, MSED, ATC, CSCS is a Athletic Trainer healthcare provider located in PATCHOGUE, New York. NPI 1316912827 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PATCHOGUE, NY
Registration Details
- NPI Number
- 1316912827
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2006 (20.449106741602 yrs)
- Last Updated
- Jul 8, 2007
- License
-
001091 (NY)
Practice Information
- Address
-
155 W ROE BLVDST. JOSEPH'S COLLEGE JOHN A DANZI ATHLETIC CENTERPATCHOGUE, NY, 117722325Browse NY providers · Browse ZIP 11772
- Phone
- 6314473330
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PATCHOGUE, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. KENDRA SAKAMOTO | MS, ATC | 1619176765 |
| MR. ANDRE MICHAEL VENNER | MS, LAT, ATC | 1831741339 |
| JENNIFER DEVEGLIO | — | 1548936263 |
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.