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

Nicole Marie Moreno, ATC

Individual provider Athletic Trainer · NPI 1316469315

Nicole Marie Moreno, ATC is an Athletic Trainer in Old Westbury, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Partly verified

Some contact details are missing from the federal record.

Northern Boulevard Po Box 8000
Old Westbury, NY 11568
Phone: (516) 686-7687
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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 002411 (NY)

Record details

NPI number1316469315
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedJuly 11, 2017
Last updated in NPPESJuly 11, 2017

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