Individual
ANNETTE JAVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 E SAINT MARKS PL, VALLEY STREAM, NY 11580-4418
(516) 312-8979
Mailing address
142 E SAINT MARKS PL, VALLEY STREAM, NY 11580-4418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1606737222
NY
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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