Individual
MR. STEPHEN DONALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
515 MADISON AVE, NEW YORK, NY 10022-5403
(202) 355-8440
Mailing address
410 PALISADE AVE, APT 1R, JERSEY CITY, NJ 07307-1666
(973) 945-7460
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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