Individual
MR. JEFFREY JOHN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
124 RAYMOND AVE, POUGHKEEPSIE, NY 12604-0001
(845) 437-7843
Mailing address
2 WATSON RD, POUGHKEEPSIE, NY 12603-3121
(845) 546-6646
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000791-1
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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