Individual
JASON SUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
727 BREWERTON RD, WEST POINT, NY 10996-1602
(845) 938-5866
Mailing address
276 TEMPLE HILL RD, #2002, NEW WINDSOR, NY 12553-6841
(845) 562-2541
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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