Anthony L Gugino
Specialist/Technologist, Athletic Trainer in Brockport, NY. Individual provider (NPI-1).
NPI number1548864481
StatusActive
Last updated in NPPESNov 22, 2020
Details
- NPI
- 1548864481
- Entity type
- Individual (NPI-1)
- Name
- Anthony L Gugino
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2020
- Certification date
- Nov 22, 2020
- Last updated
- Nov 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
220 Hollybrook RdBrockport, NY 14420-2536
Phone 585-590-9795
Mailing address
220 Hollybrook RdBrockport, NY 14420-2536
Phone 585-590-9795
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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