Individual
MAXWELL TYLER ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/LAT, OPE-C
Contact information
Practice address
1985 CROMPOND RD BLDG E, CORTLANDT MANOR, NY 10567-4146
(914) 233-3022
(914) 402-1194
Mailing address
1985 CROMPOND RD BLDG E, CORTLANDT MANOR, NY 10567-4146
(914) 233-3022
(914) 402-1194
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003185
NY
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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