Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Robert Kosteva, ATC

Individual provider Athletic Trainer · NPI 1558882738

Benjamin Robert Kosteva, ATC is an Athletic Trainer in Fort Drum, New York. Works from 2 locations. Licensed in Massachusetts and New Hampshire.

Licensed in
MA, NH
In the registry since
2017
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

10529 S Riva Ridge Loop
Fort Drum, NY 13602
Phone: (315) 774-8155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 Turnpike St, North Andover, MA 01845-5806 — (978) 837-5000

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1332 (NH)
Athletic Trainer Taxonomy 2255A2300X · Licence S04697720 (MA)

Record details

NPI number1558882738
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 28, 2017
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 1, 2022
Mailing address1 Woods Pond Dr, Westford, MA 01886

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