Individual
MR. ANDREW JAMES DONATELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S, ATC
Contact information
Practice address
10 NORTHWOOD RD, LAKE PLACID, NY 12946-0062
(518) 523-3357
(518) 523-3405
Mailing address
PO BOX 62, LAKE PLACID, NY 12946-0062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000571-1
NY
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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