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

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

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