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

Mr. Justin Raymond McConville, ATC

Individual provider Athletic Trainer · NPI 1659071488

Mr. Justin Raymond McConville, ATC is an Athletic Trainer in New York, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023
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

622 W 168th St
New York, NY 10032-3720
Phone: (917) 617-8668
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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 004490 (NY)

Record details

NPI number1659071488
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

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