Individual
MR. TROY ALAN GERLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
SYRACUSE UNIVERSITY, MANLEY FIELD HOUSE, SYRACUSE, NY 13244-5020
(315) 443-2085
Mailing address
1118 FERN HOLLOW DR, LIVERPOOL, NY 13088-5485
(315) 457-0276
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149
STATE REGISTRATION
NY
Enumeration date
03/08/2007
Last updated
07/08/2007
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