Individual
ANTHONY B PIEGARO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3030 BROADWAY, MAIL CODE 1915, NEW YORK, NY 10027-6907
(212) 854-3178
Mailing address
23 CALUMET ST, NEWARK, NJ 07105-1505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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