Individual
MR. MICHAEL MCCRISTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, NSCA-CPT
Contact information
Practice address
3272 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1345
(516) 731-1980
Mailing address
130 S PLAISTED AVE, HAUPPAUGE, NY 11788-2754
(631) 889-0303
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001915
NY
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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