Individual
MATTHEW JAMES MADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
48 COURT KNOLLE, NEW HARTFORD, NY 13413-3229
(315) 725-9845
Mailing address
48 COURT KNOLLE, NEW HARTFORD, NY 13413-3229
(315) 725-9845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002099-1
NY
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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