Individual
MR. JUSTIN LETIZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
50 FOGGINTOWN RD, BREWSTER, NY 10509-2715
(845) 279-5051
Mailing address
185 ROUTE 312, SUITE 301B, BREWSTER, NY 10509-2337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001489
NY
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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