Individual
MR. ANTHONY J ORTOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
110 8TH ST, TROY, NY 12180-3522
(518) 276-6730
(518) 276-2059
Mailing address
84 DUNHAM HOLLOW RD, EAST NASSAU, NY 12062-2509
(518) 766-5658
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000204
NY
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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