Individual
MR. MICHAEL JAY CHESHIRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3110 N JERUSALEM RD, WANTAGH, NY 11793-1128
(516) 242-3365
Mailing address
3110 N JERUSALEM RD, WANTAGH, NY 11793-1128
(516) 242-3365
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003008-1
NY
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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