Individual
ANDREW BRUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 WARREN AVE, MASSENA, NY 13662-1443
(315) 296-8397
Mailing address
19 WARREN AVE, MASSENA, NY 13662-1443
(315) 296-8397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/26/2019
Last updated
10/26/2019
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