Amy Diane Cobb-Mills, ATC

Individual provider Active NPI Athletic Trainer · Saugerties, NY

NPI 1992081418 · NPPES record last updated Oct 28, 2011

Key facts

NPI
1992081418
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
000337 (NY)
Practice address
54 Dooley Dr
Saugerties, NY 12477-4069
Phone
(518) 678-0326
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000337NYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000337 NY Yes

Addresses

Primary practice location

54 Dooley Dr
Saugerties, NY 12477-4069

Mailing address

PO Box 423
Saugerties, NY 12477-0423
Phone (518) 678-0326

Other providers in Saugerties, NY

All providers in Saugerties, NY · Athletic Trainer in New York

Sources for this page

Verify at the official NPI Registry.