Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN DIVITA, TEACHER
ActiveAthletic Trainer · EAST AMHERST, NY
Registration Details
- NPI Number
- 1811626419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2022 (3.8714558117626 yrs)
- Last Updated
- Jun 8, 2022
Practice Information
- Address
-
26 SAN FERNANDO LNEAST AMHERST, NY, 140512234Browse NY providers · Browse ZIP 14051
- Phone
- 7164721289
- Fax
- 7166892916
- Primary Specialty
-
Athletic Trainer
225500000X
- Additional Specialty
- Athletic Trainer
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.