Individual
DANIEL CERQUERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5454 N HAVERHILL RD, WEST PALM BEACH, FL 33407-3006
(718) 791-2317
Mailing address
8-07 WHITESTONE EXPRESSWAY, WHITESTONE, NY 11358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002562
NY
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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