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Individual

ANDREW SCHUG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10 YANKEE MAID LN, GOSHEN, NY 10924-2616
(845) 674-5566
Mailing address
10 YANKEE MAID LANE, GOSHEN, NY 10924
(845) 615-6164

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003188
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000024909
BOC
Enumeration date
05/10/2017
Last updated
05/10/2017
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