Individual
CHRISTOPHER JOSEPH HILDEBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
760 MAIN ST STE 1-2, CENTER MORICHES, NY 11934-2230
(631) 878-4710
(631) 878-8740
Mailing address
20 VASSAR PL, SMITHTOWN, NY 11787-3425
(631) 265-1093
(631) 878-8740
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001319
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001319
NEW YORK STATE LISCENSURE
NY
01
—
069902515
NATA BOC CERTIFICATION #
NY
Enumeration date
11/20/2006
Last updated
07/08/2007
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