Individual
BRYAN ALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
30 POPLAR GARDEN LN APT B, ROCHESTER, NY 14606-4826
(585) 414-9952
Mailing address
30 POPLAR GARDEN LN APT B, ROCHESTER, NY 14606-4826
(585) 414-9952
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003179-1
NY
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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