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Individual

MR. JONATHAN DANIEL REID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
761 SIERRA VISTA LN, VALLEY COTTAGE, NY 10989-2718
(201) 779-7952
Mailing address
761 SIERRA VISTA LN, VALLEY COTTAGE, NY 10989-2718
(201) 779-7952

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/29/2009
Last updated
10/02/2013
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