# JAMES MOLLOSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184235970
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 000064-1 | NY | Yes |
| 225700000X | Massage Therapist | 028524 | NY | — |

## Other

- **Enumeration date:** 08/14/2020
- **Last updated:** 08/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000064-1 | ATHLETIC TRAINER | NY |
| 01 | — | 069702653 | BOC | — |
| 01 | — | 951618 | NATA | — |