NPI 1205496874

Janine Glass, MSATC

Practitioner Athletic Trainer Coram, NY

Practice location

Address: 340 Woodland CT, Coram, NY 11727-3625
Phone: (631) 839-3297

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 002741 (NY)

Other Specialist/Technologist providers in New York →

Registry record

NPI: 1205496874
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2019
Record last updated: 17 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.