Individual
ADELA CRISTINA IGNISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
24 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1541
(914) 631-6969
Mailing address
1046 MARCH DR, VALLEY STREAM, NY 11580-1841
(718) 612-4642
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001576
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080702200
BOC ATC
—
Enumeration date
05/17/2018
Last updated
06/16/2018
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