Active NPIIndividual provider

Adrienne L Fedyna Dembeck, MED, ATC, LAT

Specialist/Technologist, Athletic Trainer in Berlin, Connecticut

NPI Number1770183030
Practice location
211 New Britain RD Ste 101, Berlin, CT 06037-3167
Fax
860-223-9238
Last updated
October 27, 2020

Adrienne Lara Fedyna Dembeck is a Specialist/Technologist, Athletic Trainer based in Berlin, CT. Adrienne Lara Fedyna Dembeck practices in Berlin, CT and has the professional credentials of MED, ATC, LAT. The NPI Number for Adrienne Lara Fedyna Dembeck is 1770183030 and holds a License No. 001413 (CT). The current practice location address for Adrienne Lara Fedyna Dembeck is 211 New Britain RD Ste 101, Berlin, CT 06037-3167 and can be reached out via phone at 860-827-1333 and via fax at 860-223-9238.

Provider Profile Details

NPI Number
1770183030
Provider Name
Adrienne Lara Fedyna Dembeck
Credential
MED, ATC, LAT
Provider Entity Type
Individual
Gender
Female
Address
211 New Britain RD Ste 101, Berlin, CT 06037-3167
Phone Number
860-827-1333
Fax Number
860-223-9238
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
October 27, 2020
Last Update Date
October 27, 2020
Certification Date
October 27, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
211 New Britain RD Ste 101
Berlin, CT 06037-3167
City
Berlin
Zip
06037-3167
Phone Number
860-827-1333
Fax Number
860-223-9238
Berlin, CT 06037Get directions →

Provider Business Mailing Address Details

Address
211 New Britain RD Ste 101
Berlin, CT 06037-3167
City
Berlin
State
CT
Zip
06037-3167
Phone Number
860-827-1333
Fax Number
860-223-9238

License Information

License Number
001413
License State
CT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Adrienne L Fedyna Dembeck, MED, ATC, LAT?

The NPI number of Adrienne L Fedyna Dembeck, MED, ATC, LAT is 1770183030. It was assigned on October 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Adrienne L Fedyna Dembeck, MED, ATC, LAT?

Adrienne L Fedyna Dembeck, MED, ATC, LAT is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 001413.

Where does Adrienne L Fedyna Dembeck, MED, ATC, LAT practice?

The practice location is 211 New Britain RD Ste 101, Berlin, CT 06037-3167. The office can be reached at 860-827-1333 (phone) or 860-223-9238 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770183030 directly on the NPPES registry website.

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