IndividualActive
Andre Venner, MS, LAT, ATC
NPI 1831741339 · Athletic Trainer · Patchogue, NY
Provider details
- NPI number
- 1831741339
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 002919-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
155 W Roe Blvd
Patchogue, NY 11772-2325
Phone: (914) 906-3735
Approximate (ZIP-level) locationGet directions
Mailing address
145 Dogwood Dr
Wading River, NY 11792-1605
Registry dates
- Enumerated
- 2019-07-15
- Last updated
- 2019-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.