Individual
SALVATORE A TACCONELLI PINCIOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2-22 BANTA PL, FAIR LAWN, NJ 07410-3058
(866) 936-9556
Mailing address
2-22 BANTA PL, FAIR LAWN, NJ 07410-3058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2021
Last updated
03/02/2025
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