Individual
CRAIG ANTHONY LABIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3030 BROADWAY, MC 1915, NEW YORK, NY 10027-6907
(212) 854-3178
Mailing address
421 WILLIAMS AVE, HASBROUCK HEIGHTS, NJ 07604-2714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00129600
NJ
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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