Individual
MR. NATHANIEL SUCHYNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
4129 LAKE SHORE RD, ATHOL SPRINGS, NY 14010-1712
(716) 627-1200
(716) 627-4610
Mailing address
4129 LAKE SHORE RD, ATHOL SPRINGS, NY 14010-1712
(716) 627-1200
(716) 627-4610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001189
NY
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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