Lesley Willis Vandermark, PHD, ATC

Athletic Trainer · Buffalo, NY

Individual Active NPI

NPI number 1548632839

Practice location

29 Carriage HL W
Buffalo, NY 14221-2103
Phone
(814) 558-1788

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NPI record

NPI
1548632839
Entity type
Individual (Type 1)
Enumeration date
October 26, 2015
Last updated
October 9, 2024
Certified
October 9, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 004262-01 NY

About Dr. Vandermark

Lesley Willis Vandermark, PHD, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 29 Carriage HL W, Buffalo, NY 14221-2103. The NPI number 1548632839 was assigned on October 26, 2015 and the record was last updated on October 9, 2024.

Dr. Vandermark lists a license in the registry: #004262-01 (NY) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lesley Willis Vandermark, PHD, ATC?

The NPI number is 1548632839.

What is the phone number of Dr. Vandermark?

The phone number listed for the practice location is (814) 558-1788.

Where is Dr. Vandermark located?

29 Carriage HL W, Buffalo, NY 14221-2103.

What is the taxonomy code for Dr. Vandermark?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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