Provider Demographics
NPI:1366848095
Name:TRAINOR, JOHN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:TRAINOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 GRANGE HALL RD
Mailing Address - Street 2:
Mailing Address - City:SCHUYLERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12871-1996
Mailing Address - Country:US
Mailing Address - Phone:518-578-8819
Mailing Address - Fax:
Practice Address - Street 1:348 GRANGE HALL RD
Practice Address - Street 2:
Practice Address - City:SCHUYLERVILLE
Practice Address - State:NY
Practice Address - Zip Code:12871-1996
Practice Address - Country:US
Practice Address - Phone:518-578-8819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist