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Individual

AIDAN GOMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
441 E FORDHAM RD, BRONX, NY 10458-5149
(347) 346-3118
Mailing address
120 ELGAR PL APT 14K, BRONX, NY 10475-5166
(347) 346-3118

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/02/2020
Last updated
08/06/2022
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