Jason R D'Amelio, ATC
Specialist/Technologist, Athletic Trainer in New York, NY. Individual provider (NPI-1).
NPI number1861542045
StatusActive
Last updated in NPPESApr 26, 2021
Details
- NPI
- 1861542045
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason R D'Amelio
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2007
- Certification date
- Apr 26, 2021
- Last updated
- Apr 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 001185-1 | NY | Yes |
Practice location
610 W 58th St Fl 3New York, NY 10019-1005
Phone 646-734-6950
Mailing address
610 W 58th St Fl 3New York, NY 10019-1005
Phone 646-734-6950
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