Individual
TRUC LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Mailing address
348 SPRUCEWOOD TER, WILLIAMSVILLE, NY 14221-3938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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