Individual
MIGUEL SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
315 56TH ST APT 1, BROOKLYN, NY 11220-3036
(917) 586-1453
Mailing address
315 56TH ST APT 1, BROOKLYN, NY 11220-3036
(917) 586-1453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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