Individual
MR. JASON MOUYEOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
UNIVERSITY AT BUFFALO, STADIUM COMPLEX RM 130, BUFFALO, NY 14260-0001
(716) 645-6829
(716) 645-5574
Mailing address
UNIVERSITY AT BUFFALO, STADIUM COMPLEX RM 130, BUFFALO, NY 14260-0001
(716) 645-6829
(716) 645-5574
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001239
NY
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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