Individual
MR. PAUL FICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
88 E 4TH ST, NEW YORK, NY 10003-9001
(516) 424-9481
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(516) 424-9481
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
039602389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039602389
ATHLETIC TRAINING
NY
Enumeration date
09/30/2019
Last updated
09/30/2019
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