Individual
WILLIAM ROBERT VARASCONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
125 ROUTE 340, SPARKILL, NY 10976-1041
(860) 940-1430
Mailing address
15 WITCHES ROCK RD, BRISTOL, CT 06010-7150
(860) 940-1430
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1436
CT
Other
Enumeration date
01/17/2018
Last updated
05/29/2019
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