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Individual

NICHOLAS M ANNESI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT

Contact information

Practice address
16 DARTTS CROSS ROAD, SPENCER, NY 13760
(607) 621-7626
Mailing address
491 REYNOLDS RD, JOHNSON CITY, NY 13790-1369
(607) 729-0044

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
005054
NY

Other

Enumeration date
02/06/2026
Last updated
02/06/2026
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