Luciano Domenico Alonzi
Individual provider Active NPI Athletic Trainer · University Park, PA
NPI 1992208797 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1992208797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 276 Recreation BLDG BLDG
University Park, PA 16802-5701 - Phone
- (814) 863-0442
- NPI assigned
- Mar 17, 2018
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
276 Recreation BLDG BLDG
University Park, PA 16802-5701
Mailing address
3093 New Williamsburg Dr
Schenectady, NY 12303-5384
Other providers in University Park, PA
All providers in University Park, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2021. 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.