Individual
MR. XRISTOS K GAGLIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
STONY BROOK UNIVERSITY, SPORTS COMPLEX, STONY BROOK, NY 11794-3504
(631) 632-7255
(631) 632-7210
Mailing address
21 RIDGE HAVEN DR, RIDGE, NY 11961-2127
(631) 632-7255
(631) 632-7210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000869-1
NY
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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