Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAXWELL TYLER ANDERSON, ATC/LAT, OPE-C
ActiveMAXWELL TYLER ANDERSON, ATC/LAT, OPE-C is a Athletic Trainer healthcare provider located in CORTLANDT MANOR, New York. NPI 1629846472 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · CORTLANDT MANOR, NY
Registration Details
- NPI Number
- 1629846472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2023 (2.6707914473399 yrs)
- Last Updated
- Dec 12, 2023
- License
-
003185 (NY)
Practice Information
- Address
-
1985 CROMPOND RD BLDG ECORTLANDT MANOR, NY, 105674146Browse NY providers · Browse ZIP 10567
- Phone
- 9142333022
- Fax
- 9144021194
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in CORTLANDT MANOR, NY
| Name | Credential | NPI |
|---|---|---|
| DAVID R BUETI | MS ATC CSCS | 1073951158 |
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.