Individual
MR. JOHN J POMPONIO- CARECCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9216 7TH AVE, BROOKLYN, NY 11228-3622
(718) 836-9800
(718) 748-5436
Mailing address
497 MEDINA ST, STATEN ISLAND, NY 10306-4452
(718) 836-9800
(718) 748-5436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001484-1
NY
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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