Jared Russom
Jared Russom is an Athletic Trainer in Delmar, New York. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
13 Brookview AveDelmar, NY 12054
Phone: (518) 414-2927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1396344743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 17, 2020 |
| Last updated in NPPES | September 11, 2025 |
| Certification date | October 17, 2020 |
| Mailing address | 13 Brookview Ave., Delmar, NY 12054 |
Other providers in Delmar
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Stephanie Kitto
23 Dumbarton Dr, Delmar, NY 12054-3518 · (518) 928-2899