Individual
CHRISTOPHER LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1319 GARDINER DR, BAY SHORE, NY 11706-3710
(631) 579-7055
Mailing address
1319 GARDINER DR, BAY SHORE, NY 11706-3710
(631) 579-7055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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