Individual
JUAN SEBASTIAN NEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S ,ATC, CES, PES
Contact information
Practice address
274 MADISON AVE RM 201, NEW YORK, NY 10016-0717
(646) 678-5995
Mailing address
208 MASSEL AVE SE # A, VALDESE, NC 28690-2837
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2019
Last updated
03/17/2026
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