Individual
MR. RAYMOND D KNIZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L, ATC
Contact information
Practice address
56 DUPLAINVILLE RD, SARATOGA SPRINGS, NY 12866-9020
(518) 581-4487
(518) 581-4904
Mailing address
4961 BLISS RD, BALLSTON SPA, NY 12020-2047
(518) 882-9141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000676-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000676-1
ATC LICENSE NUMBER
NY
Enumeration date
02/26/2007
Last updated
07/08/2007
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