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

MS. Mary K. Butlak, ATC

Individual provider Athletic Trainer · NPI 1659624526

MS. Mary K. Butlak, ATC is an Athletic Trainer in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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

231 Walton St Ste 200
Syracuse, NY 13202-1887
Phone: (315) 478-0380
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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 002291-1 (NY)

Record details

NPI number1659624526
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedOctober 17, 2012
Last updated in NPPESOctober 17, 2012

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