Individual
NICHOLAS GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, ATC, LAT
Contact information
Practice address
230 GEORGE ST, NEW HAVEN, CT 06510-3224
(203) 498-5980
Mailing address
69 EDISON ST, STRATFORD, CT 06614-4248
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000738
CT
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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