JARED RUSSOM

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1396344743

Practice Address

13 BROOKVIEW AVE.
Delmar, NY 12054

Phone: (518) 414-2927

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes -

Frequently Asked Questions

NPI 1396344743 is the National Provider Identifier for JARED RUSSOM, a Specialist/Technologist - Athletic Trainer provider located in Delmar, NY. This NPI was enumerated on October 17, 2020.
JARED RUSSOM practices at 13 BROOKVIEW AVE., Delmar, NY 12054.

Quick Facts

NPI
1396344743
Type
Individual
Enumerated
Oct 17, 2020
Last Updated
Sep 11, 2025

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