Craig Olejniczak, MS, ATC
Individual provider Active NPI Athletic Trainer · Florida, NY
NPI 1962826792 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1962826792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 000733-1 (NY)
- Practice address
- 61 Jayne St
Florida, NY 10921-1108 - Phone
- (845) 988-3030
- NPI assigned
- Feb 14, 2014
- Sex
- Male
- 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 |
|---|---|---|---|
| 000733-1 | NY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000733-1 | NY | Yes |
Addresses
Primary practice location
61 Jayne St
Florida, NY 10921-1108
Mailing address
61 Jayne St
Florida, NY 10921-1108
Phone (845) 988-3030
Other providers in Florida, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. 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.