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

Individual provider Athletic Trainer · NPI 1841602661

Mr. Dwayne Brinson, ISSACERTIFICATION is an Athletic Trainer in Williamsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

6789 Main St
Williamsville, NY 14221-5907
Phone: (716) 632-1742
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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 430292 (NY)

Record details

NPI number1841602661
Entity typeIndividual (Type 1)
GenderMale
Credentials ISSACERTIFICATION
Sole proprietorYes
NPI enumeratedMay 28, 2014
Last updated in NPPESMay 28, 2014
Mailing address6789 Main St, Williamsville, NY 14221-5907

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