Justin Letizia, ATC
Specialist/Technologist, Athletic Trainer in Brewster, NY. Individual provider (NPI-1).
NPI number1437542685
StatusActive
Last updated in NPPESMar 12, 2015
Details
- NPI
- 1437542685
- Entity type
- Individual (NPI-1)
- Name
- Mr. Justin Letizia
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2015
- Last updated
- Mar 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 001489 | NY | Yes |
Practice location
50 Foggintown RdBrewster, NY 10509-2715
Phone 845-279-5051
Mailing address
185 Route 312Suite 301b
Brewster, NY 10509-2337
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