Individual
MR. MATTHEW P NUESELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
280 LINDEN AVE, BUFFALO, NY 14216-2828
(607) 423-3194
Mailing address
280 LINDEN AVE, BUFFALO, NY 14216-2828
(607) 423-3194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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