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

Paul Dequillfeldt, ATC

Individual provider Specialist · NPI 1245782234

Paul Dequillfeldt, ATC is a Specialist in Massapequa, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

5700 Merrick Rd
Massapequa, NY 11758
Phone: (516) 798-9605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 67-003215 (NY)

Record details

NPI number1245782234
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 26, 2016
Last updated in NPPESOctober 26, 2016

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