Individual
CHRISTINE MARIE LUCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
18 BRETON AVE, MELVILLE, NY 11747-1302
(631) 902-1633
Mailing address
18 BRETON AVE, MELVILLE, NY 11747-1302
(631) 902-1633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002954
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
08/06/2016
Last updated
02/13/2026
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