Individual
MR. DAVID ROBERT VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
ATHLETICS OFFICE, GALLAGHER CENTER, NIAGARA UNIVERSITY, NY 14109
(716) 286-8744
Mailing address
7 BRADWOOD RD, WEST SENECA, NY 14224-4221
(716) 286-8744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001209
NY
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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