Individual
MR. THOMAS WILLIAM BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MST, L-ATC
Contact information
Practice address
455 MOUNT AIRY RD, NEW WINDSOR, NY 12553-8928
(845) 567-8385
Mailing address
455 MOUNT AIRY RD, NEW WINDSOR, NY 12553-8928
(845) 567-8385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001041-1
NY
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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