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Individual

HARRY NICOLAS JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
QUINNIPIAC UNIVERSITY 275 MT CARMEL AVENUE, HAMDEN, CT 06511-1908
(516) 761-2034
Mailing address
73 CANTIAGUE LN, WESTBURY, NY 11590
(516) 761-2034

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/24/2018
Last updated
04/24/2018
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