Individual
CHUN-TAO WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 FOX MEADOW LN, SAINT JAMES, NY 11780-1119
(631) 682-4620
Mailing address
1 FOX MEADOW LN, SAINT JAMES, NY 11780-1119
(631) 682-4620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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