Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GINA SIRACUSANO, ATC, CES
Active Sole ProprietorGINA SIRACUSANO, ATC, CES is a Athletic Trainer healthcare provider located in MASTIC BEACH, New York. NPI 1790384410 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MASTIC BEACH, NY
Registration Details
- NPI Number
- 1790384410
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2020 (5.8306028656391 yrs)
- Last Updated
- Oct 23, 2020
- License
-
002663-01 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 MASTIC RD STE 4MASTIC BEACH, NY, 119511020Browse NY providers · Browse ZIP 11951
- Phone
- 6317041899
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MASTIC BEACH, NY
| Name | Credential | NPI |
|---|---|---|
| MS. JACQUELINE ANNE CRYTZER | ATC | 1902860430 |
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.