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

Marc Anthony Mortellaro

Individual provider Athletic Trainer · NPI 1720577133

Marc Anthony Mortellaro is an Athletic Trainer in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

622 W 168th St Ph 11
New York, NY 10032-3720
Phone: (212) 305-6445
Fax: (212) 305-4040
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 001899 (NY)

Record details

NPI number1720577133
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 2, 2018
Last updated in NPPESMay 2, 2018

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