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Contact Information

KENTA MIYAZAKI, MS, ATC
101 BROAD STREET
SUNY PLATTSBURGH,
PLATTSBURGH, NY12901
 Phone: 518-564-3089
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KENTA MIYAZAKI · (Male)

NPI # 1669911517
Status Active
Credentials MS, ATC
Entity Individual
Enumeration date 02/13/2017
Last updated 02/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 002627-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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