Individual provider · NPI-1

Angelo Joseph Annunziato, ATC

Specialist/Technologist, Athletic Trainer · New York, NY

NPI number1154585925
StatusActive
Last updated in NPPESJul 10, 2008

Details

NPI
1154585925
Entity type
Individual (NPI-1)
Name
Mr. Angelo Joseph Annunziato
Credential
ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 10, 2008
Last updated
Jul 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer001602-1NYYes

Practice location

240 E 93rd St
#9g
New York, NY 10128-3707

Phone 212-860-3066

Mailing address

240 E 93rd St
#9g
New York, NY 10128-3707

Phone 212-860-3066

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