Active NPIIndividual provider

Nicole E Delage, ATC

Specialist/Technologist, Athletic Trainer in Cos Cob, Connecticut

NPI Number1902157480
Practice location
31 River RD, Suite 100, Cos Cob, CT 06807-2152
Fax
203-863-2025
Last updated
September 25, 2012

Nicole E Delage is a Specialist/Technologist, Athletic Trainer based in Cos Cob, CT. Nicole E Delage practices in Cos Cob, CT and has the professional credentials of ATC. The NPI Number for Nicole E Delage is 1902157480 and holds a License No. 000782 (CT). The current practice location address for Nicole E Delage is 31 River RD, Suite 100, Cos Cob, CT 06807-2152 and can be reached out via phone at 203-863-2003 and via fax at 203-863-2025.

Provider Profile Details

NPI Number
1902157480
Provider Name
Nicole E Delage
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
31 River RD, Suite 100, Cos Cob, CT 06807-2152
Phone Number
203-863-2003
Fax Number
203-863-2025
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2012
Last Update Date
September 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 River RD
Suite 100
Cos Cob, CT 06807-2152
Zip
06807-2152
Phone Number
203-863-2003
Fax Number
203-863-2025
Cos Cob, CT 06807Get directions →

Provider Business Mailing Address Details

Address
31 River RD
Suite 100
Cos Cob, CT 06807-2152
City
Cos Cob
State
CT
Zip
06807-2152
Phone Number
203-863-2003
Fax Number
203-863-2025

License Information

License Number
000782
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 Nicole E Delage, ATC?

The NPI number of Nicole E Delage, ATC is 1902157480. It was assigned on September 25, 2012 and is currently active in the NPPES registry.

What is the specialty of Nicole E Delage, ATC?

Nicole E Delage, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 000782.

Where does Nicole E Delage, ATC practice?

The practice location is 31 River RD, Suite 100, Cos Cob, CT 06807-2152. The office can be reached at 203-863-2003 (phone) or 203-863-2025 (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 1902157480 directly on the NPPES registry website.

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