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

MARIANA CREVISON, ATC

Active Sole Proprietor

MARIANA CREVISON, ATC is a Athletic Trainer healthcare provider located in SCOTTSVILLE, New York. NPI 1841731312 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SCOTTSVILLE, NY

Registration Details

NPI Number
1841731312
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2017 (9.4360121435471 yrs)
Last Updated
Dec 14, 2017
Licenses
2000030410 (NY)
2255A2300X (NY)
003594 (NY)
Sole Proprietor
Yes

Practice Information

Address
20 CEDAR ST
SCOTTSVILLE, NY, 145461153
Browse NY providers · Browse ZIP 14546
Phone
5857941805
Primary Specialty
Athletic Trainer
2255A2300X
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.