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

Mr. Michael Mark Militello, ATC

Individual provider Specialist · NPI 1629136809

Mr. Michael Mark Militello, ATC is a Specialist in Brockport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

350 New Campus Dr
Brockport, NY 14420-2997
Phone: (585) 395-5355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 000079 (NY)

Record details

NPI number1629136809
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address50 Morning Glory Ln, Rochester, NY 14626-4729

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