Individual
ANTHONY GUIFFRE-OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 NICOLLS RD, G-33 INDOOR SPORTS COMPLEX, STONY BROOK, NY 11794
(631) 632-2837
Mailing address
47 PIEDMONT DR APT 54B, PORT JEFFERSON STATION, NY 11776-1120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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