NPI 1245327915

Richard Joseph Boergers, ATC

Practitioner Athletic Trainer Coram, NY

Practice location

Address: 8 Mount Snow Ln, Coram, NY 11727-2025
Phone: (631) 828-2608

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 001088 (NY)

Other Specialist/Technologist providers in New York →

Registry record

NPI: 1245327915
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Oct 2006
Record last updated: 8 Jul 2007

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.