Individual
XAVIER STEVEN ALZATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
338 75TH STREET, 2B, NORTH BERGEN, NJ 07047
(551) 482-6482
Mailing address
338 75TH ST, NORTH BERGEN, NJ 07047-5640
(551) 482-6482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002735-1
NY
2255A2300X
Athletic Trainer
25MT00200600
NJ
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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