Individual
MR. JOE WILLIAM TEGNANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 WASHINGTON AVE, ALBANY, NY 12222-0100
(518) 442-3725
Mailing address
1400 WASHINGTON AVE, ALBANY, NY 12222-0100
(518) 442-3725
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002182-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
NY
Enumeration date
05/08/2018
Last updated
05/08/2018
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