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

Raeysha Surendran, MS, ATC

Individual provider Athletic Trainer · NPI 1447081476

Raeysha Surendran, MS, ATC is an Athletic Trainer in East Setauket, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

6 Technology Dr
East Setauket, NY 11733-4079
Phone: (631) 689-4197
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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 004792 (NY)

Record details

NPI number1447081476
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESSeptember 15, 2024
Certification dateSeptember 15, 2024

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