Individual
JAIME PACHESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
231 W 246TH ST, BRONX, NY 10471-3430
(718) 432-3804
Mailing address
333 E 75TH ST APT 4H, NEW YORK, NY 10021-3051
(203) 687-7398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002967
NY
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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