Individual
DANIEL MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
64 PINE NECK AVE, EAST PATCHOGUE, NY 11772-5728
(631) 291-8108
Mailing address
64 PINE NECK AVE, EAST PATCHOGUE, NY 11772-5728
(631) 291-8108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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