Individual
MAE BELLINE TIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
442 BROADWAY, STATEN ISLAND, NY 10310-2038
(646) 255-9032
Mailing address
442 BROADWAY, STATEN ISLAND, NY 10310-2038
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67-002126
NY
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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