Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA MARIE KOMNIK, MSC, ATC
Active Sole ProprietorMRS. LISA MARIE KOMNIK, MSC, ATC is a Athletic Trainer healthcare provider located in STONY BROOK, New York. NPI 1881669505 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · STONY BROOK, NY
Registration Details
- NPI Number
- 1881669505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2006 (20.448345859247 yrs)
- Last Updated
- Sep 10, 2020
- License
-
000038-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 NICHOLLS ROAD SPORTS COMPLEX G33STONY BROOK, NY, 117942325Browse NY providers · Browse ZIP 11794
- Phone
- 6316327164
- Fax
- 6316327210
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in STONY BROOK, NY
| Name | Credential | NPI |
|---|---|---|
| MS. KATHRYN ANN KOSHANSKY | ATC | 1871554519 |
| MS. LISA MARIE CANTARA | MS, ATC, CSCS | 1093778904 |
| MR. XRISTOS K GAGLIAS | ATC | 1235238999 |
| MISS MARY ROSE TOVORNIK | ATC | 1528101631 |
| CHRISTINE LEWIS | — | 1659746691 |
| PATRICK PATTI | MLS, LAT, ATC | 1508227984 |
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.