Individual
MICHAEL SPRECKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 SEAMANS NECK RD, SEAFORD, NY 11783-2055
(631) 807-3184
Mailing address
1575 SEAMANS NECK RD, SEAFORD, NY 11783-2055
(631) 807-3184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24699
NY
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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