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

Mariano Gonzalez Jr., ATC

Individual provider Athletic Trainer · NPI 1427861517

Mariano Gonzalez Jr., ATC is an Athletic Trainer in East Setauket, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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

380 Old Town Rd
East Setauket, NY 11733-3482
Phone: (631) 730-4980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 002969 (NY)

Record details

NPI number1427861517
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 30, 2025

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