Individual
MR. RICHARD JOSEPH BOERGERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8 MOUNT SNOW LN, CORAM, NY 11727-2025
(631) 828-2608
Mailing address
8 MOUNT SNOW LN, CORAM, NY 11727-2025
(631) 828-2608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001088
NY
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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