Individual
MR. BANDELE TALIB JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
711 OLD SAW MILL RIVER RD, TARRYTOWN, NY 10591-6701
(484) 767-7931
Mailing address
711 OLD SAW MILL RIVER RD, TARRYTOWN, NY 10591-6701
(484) 767-7931
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002765
NY
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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