Individual
DYLAN E JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
4225 GENESEE ST STE 400, CHEEKTOWAGA, NY 14225-1994
(716) 906-5905
Mailing address
4225 GENESEE ST STE 400, CHEEKTOWAGA, NY 14225-1994
(716) 906-5905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002231-01
NY
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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