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

MR. ANDRE MICHAEL VENNER, MS, LAT, ATC

Active

MR. ANDRE MICHAEL VENNER, MS, LAT, ATC is a Athletic Trainer healthcare provider located in PATCHOGUE, New York. NPI 1831741339 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PATCHOGUE, NY

Registration Details

NPI Number
1831741339
Provider Type
Individual
Gender
Male
NPI Issued
Jul 15, 2019 (7.0489263859614 yrs)
Last Updated
Jul 15, 2019
License
002919-1 (NY)

Practice Information

Address
155 W ROE BLVD
PATCHOGUE, NY, 117722325
Browse NY providers · Browse ZIP 11772
Phone
9149063735
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PATCHOGUE, NY

Name Credential NPI
MR. SCOTT DAVID GRUDER MSED, ATC, CSCS 1316912827
MRS. KENDRA SAKAMOTO MS, ATC 1619176765
JENNIFER DEVEGLIO 1548936263
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.