Robert Michael Addon, ATC
Student in an Organized Health Care Education/Training Program in Suffern, NY. Individual provider (NPI-1).
NPI number1013249366
StatusActive
Last updated in NPPESFeb 10, 2010
Details
- NPI
- 1013249366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Michael Addon
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2010
- Last updated
- Feb 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 001178 | NY | Yes |
Practice location
49 Viola RdSuffern, NY 10901-3228
Phone 845-590-3829 · Fax 845-357-4947
Mailing address
252 Richard CtPomona, NY 10970-2305
Phone 201-906-1545
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