Individual
ROSE-ANN VAN DER GELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 MOHAWK RD, WEST HEMPSTEAD, NY 11552
(347) 495-6424
Mailing address
555 MOHAWK RD, WEST HEMPSTEAD, NY 11552-1111
(347) 495-6424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001231-1
NY
Other
Enumeration date
01/07/2015
Last updated
08/05/2015
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