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

SIERRA N WILDE, ATC

Active

SIERRA N WILDE, ATC is a Athletic Trainer healthcare provider located in SEAFORD, New York. NPI 1760947964 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SEAFORD, NY

Registration Details

NPI Number
1760947964
Provider Type
Individual
Gender
Female
NPI Issued
Feb 1, 2019 (7.5693432426667 yrs)
Last Updated
Feb 1, 2019
License
003451 (NY)

Practice Information

Address
1575 SEAMANS NECK RD
SEAFORD, NY, 117832055
Browse NY providers · Browse ZIP 11783
Phone
6315606489
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SEAFORD, NY

Name Credential NPI
MS. ADRIENNE MARIE LAVACCA ATC 1194126490
MICHAEL SPRECKELS 1851842991
RUSSELL SHAUN KOHLER 1871109066
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.