Individual
MR. COLIN RICHARD PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
45 ROMA ORCHARD RD, PEEKSKILL, NY 10566-4870
(914) 806-0580
Mailing address
45 ROMA ORCHARD RD, PEEKSKILL, NY 10566-4870
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
06/27/2023
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