Individual
MR. MICHAEL STELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
200 ROBBINS LN, SUITE D-2, JERICHO, NY 11753-2365
(516) 802-0152
Mailing address
200 ROBBINS LN, SUITE D-2, JERICHO, NY 11753-2365
(516) 802-0152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002122-1
NY
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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