Individual
ADRIANA ZIEBA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 W PARK AVE, LONG BEACH, NY 11561-3129
(516) 710-5416
Mailing address
416 W PARK AVE, LONG BEACH, NY 11561-3129
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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