Healthcare Provider Details

I. General information

NPI: 1548235278
Provider Name (Legal Business Name): JOSHUA CLIFFORD CHASON ATC, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ANNANDALE RD STEVENSON GYMNASIUM
RED HOOK NY
12504
US

IV. Provider business mailing address

57 W MAIN ST
PAWLING NY
12564-1318
US

V. Phone/Fax

Practice location:
  • Phone: 845-758-7694
  • Fax:
Mailing address:
  • Phone: 845-855-4752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number233183
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number001160-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: