Individual
ALEJANDRO PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S, LAT, ATC
Contact information
Practice address
29 CRANBERRY CIR, MEDFORD, NY 11763-1568
(631) 891-9342
Mailing address
29 CRANBERRY CIR, MEDFORD, NY 11763-1568
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008467
PA
Other
Enumeration date
02/01/2024
Last updated
08/02/2024
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