MEDICARE: MR. KEN VERRAL ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	001033-1	NY

General Provider Information

NPI Number	:	1497784581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEN VERRAL ATC

Provider Business Mailing Address
First Line	:	49 CLINTON AVE
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-2201
Country	:	US
Telephone Number	:	914-479-6480
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 CLINTON AVE
Second Line	:
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-2201
Country	:	US
Telephone Number	:	914-479-6480
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1023097508 — DR. DENNIS WAYNE EDWARDS PHD, LMFT
Practice Location Address:

2201 FERRY ST , HEARTLAND CLINIC
LAFAYETTE, IN
47904-3047

Practice Phone: 765-446-9898
Practice Fax: 765-446-9424

1316990880 — HEARTLAND CLINIC, INC.
Practice Location Address:

2201 FERRY ST
LAFAYETTE, IN
47904-3047

Practice Phone: 765-446-9898
Practice Fax: 765-446-9424

1063469427 — MRS. TRACY LYNN KARAM LMFT
Practice Location Address:

2201 FERRY ST
LAFAYETTE, IN
47904-3047

Practice Phone: 765-446-9898
Practice Fax:

1467483644 — MR. ELI ANDREW KARAM LMFT
Practice Location Address:

2201 FERRY ST
LAFAYETTE, IN
47904-3047

Practice Phone: 765-446-9898
Practice Fax: 765-446-9424

1265463210 — SHRUTI SINGH POULSEN PH.D.
Practice Location Address:

2201 FERRY ST , HEARTLAND CLINIC
LAFAYETTE, IN
47904-3047

Practice Phone: 765-446-9898
Practice Fax:

1154405587 — MS. MARIANNE BETH SPICKER MS ED
Practice Location Address:

2201 FERRY ST
LAFAYETTE, IN
47904-3047

Practice Phone: 765-446-9898
Practice Fax:

Directions to “ MR. KEN VERRAL ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.