Individual
BRIAN BERNASCONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
31 DEMAREST MILL RD, WEST NYACK, NY 10994-1515
(845) 624-3483
(845) 624-2640
Mailing address
7 E LAWRENCE PARK DR, UNIT #8, PIERMONT, NY 10968
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001111-1
NY
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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