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Individual

MR. NICHOLAS BOHDAN SEMENIUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
61-127 PREAKNESS AVE, PATERSON, NJ 07522
(973) 321-1000
Mailing address
61-127 PREAKNESS AVE, PATERSON, NJ 07522
(973) 321-1000

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00092700
NJ

Other

Enumeration date
03/21/2006
Last updated
12/16/2015
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