Christine Ade, M.S., A.T.C., L.A.T.
Individual provider Active NPI Athletic Trainer · Elmont, NY
NPI 1790228708 · NPPES record last updated Nov 22, 2016
Key facts
- NPI
- 1790228708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 003276-1 (NY)
- Practice address
- 2121 Leighton Rd
Elmont, NY 11003-3513 - Phone
- (516) 263-9405
- NPI assigned
- Nov 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003276-1 | NY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 003276-1 | NY | Yes |
Addresses
Primary practice location
2121 Leighton Rd
Elmont, NY 11003-3513
Mailing address
250 W 57TH St Ste 2421
New York, NY 10107-2402
Phone (212) 326-8462
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.