Individual
ANDREW DENMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
(516) 798-9605
Mailing address
5700 MERRICK RD, MASSAPEQUA, NY 11758-6221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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