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

BENJAMIN ROBERT KOSTEVA, ATC

Active

BENJAMIN ROBERT KOSTEVA, ATC is a Athletic Trainer healthcare provider located in FORT DRUM, New York. NPI 1558882738 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · FORT DRUM, NY

Registration Details

NPI Number
1558882738
Provider Type
Individual
Gender
Male
NPI Issued
Jun 28, 2017 (8.9476138011666 yrs)
Last Updated
Sep 2, 2022
Licenses
S04697720 (MA)
1332 (NH)

Practice Information

Address
10529 S RIVA RIDGE LOOP
FORT DRUM, NY, 13602
Browse NY providers · Browse ZIP 13602
Phone
3157748155
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in FORT DRUM, NY

Name Credential NPI
MS. KRISTINE ELIZABETH JOHNSON ATC 1083948376
MRS. ASHANTE MONIQUE OSEI ASIBEY ATC 1477862605
MR. ZACHARY ROBERTSON ATC, LAT 1811382617
JOCELYN DOINA ATC 1255781696
JULIA M SLEPKO AT, LAT, ATC 1407308505
CORINA SALINAS 1730627480
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.