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Individual
SAMUEL ISAAC DICKSTEIN
Active
Individual
SAMUEL ISAAC DICKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
11/09/2023
Last updated
05/22/2025
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