Individual
NICOLE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 RICHMOND HILL RD, STATEN ISLAND, NY 10314-5950
(917) 720-0140
Mailing address
60 LONGFELLOW AVE, STATEN ISLAND, NY 10301-4616
(917) 406-8399
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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