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

Jenna Eivazi

Individual provider Athletic Trainer · NPI 1043017130

Jenna Eivazi is an Athletic Trainer in East Meadow, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

1530 Frnt ST
East Meadow, NY 11554-2265
Phone: (516) 324-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 004927 (NY)

Record details

NPI number1043017130
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address343 Lexington Ave, West Hempstead, NY 11552-1320

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