Individual
ANDREW GEARY CORNICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
180 REMSEN ST, BROOKLYN, NY 11201-4305
(718) 926-4190
(718) 643-9370
Mailing address
180 REMSEN ST, BROOKLYN, NY 11201-4305
(718) 926-4190
(718) 643-9370
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001507-1
NY
Other
Enumeration date
11/27/2007
Last updated
01/10/2017
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