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Individual

PROF. MICHAEL POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, EMT, CSCS

Contact information

Practice address
3399 NORTH RD, POUGHKEEPSIE, NY 12601-1350
(845) 575-3912
Mailing address
1208 ROUTE 9G, HYDE PARK, NY 12538-2074
(540) 336-0166

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001840
NY

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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