Individual
COLLIN SAMUEL RECORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
10263 FOURTH ARMORED DIVISION DR, FORT DRUM, NY 13602
(315) 772-3524
Mailing address
26325 LANNER LN, EVANS MILLS, NY 13637-3606
(518) 354-0872
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004301-01
NY
Other
Enumeration date
09/09/2019
Last updated
11/14/2025
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