Individual
MR. JASON R D'AMELIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
610 W 58TH ST FL 3, NEW YORK, NY 10019-1005
(646) 734-6950
Mailing address
610 W 58TH ST FL 3, NEW YORK, NY 10019-1005
(646) 734-6950
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001185-1
NY
Other
Enumeration date
01/11/2007
Last updated
04/26/2021
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