Individual
ROBERT F BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, AEMT
Contact information
Practice address
78 SHELLBANK PL, ROCKVILLE CENTRE, NY 11570-5833
(516) 319-8570
Mailing address
78 SHELLBANK PL, ROCKVILLE CENTRE, NY 11570-5833
(516) 319-8570
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
356641
NY
2255A2300X
Athletic Trainer
Primary
2000001701
NY
Other
Enumeration date
09/10/2009
Last updated
01/16/2024
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