Healthcare Provider Details

I. General information

NPI: 1922793603
Provider Name (Legal Business Name): NYC ATHLETIC TRAINING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 W 54TH ST STE 801
NEW YORK NY
10019-5597
US

IV. Provider business mailing address

244 W 54TH ST STE 801
NEW YORK NY
10019-5597
US

V. Phone/Fax

Practice location:
  • Phone: 212-230-2318
  • Fax: 212-230-2319
Mailing address:
  • Phone: 212-230-2318
  • Fax: 212-230-2319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WARREN HAMLET
Title or Position: OWNER
Credential: DPT, ATC, CSCS
Phone: 212-320-2318