Individual
YANIRA ROSE MARIE DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
27003 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2517
(718) 831-1900
(718) 831-9766
Mailing address
579 HART ST APT 2, BROOKLYN, NY 11221
(315) 542-7207
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003203-1
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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