Individual
MR. SCOTT PATRICK MASTROBATTISTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSED, ATC
Contact information
Practice address
NIAGARA UNIVERSITY, NIAGARA UNIVERSITY, NY 14109
(716) 286-8642
(716) 286-8656
Mailing address
6432 WHITE OAK WAY, LAKEVIEW, NY 14085-9573
(716) 627-5754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000243-1
NY
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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