Individual
PHILLIP STAMATIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
Mailing address
HUDSON VIEW DRIVE, APT 30 E, BEACON, NY 12508-1329
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002464-1
NY
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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