NPI 1811959950

Jason Robert McKay, ATC

Practitioner Athletic Trainer Coram, NY

Practice location

Address: 350 Middle Country Rd Suite G - Longwood Sports Therapy, Coram, NY 11727-4410
Phone: (631) 716-2700
Fax: (631) 716-2782
Mailing address: 37 Cobblestone Dr, Shoreham, NY 11786-2311

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 001153 (NY)

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Registry record

NPI: 1811959950
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2006
Record last updated: 13 Jul 2026

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.