Individual
MR. MICHAEL ANTHONY PRYBICIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C. EMTB, C.S.C.S
Contact information
Practice address
799 BLOOMFIELD AVENUE, SUITE 304, VERONA, NJ 07044-1301
(973) 571-0001
(973) 571-4170
Mailing address
102 PATRICIA PL, CLIFTON, NJ 07012-1855
(973) 594-9651
(973) 571-4170
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
NJ
2255A2300X
Athletic Trainer
Primary
25MT00062100
NJ
2255A2300X
Athletic Trainer
RT001246A
PA
Other
Enumeration date
02/02/2006
Last updated
06/27/2012
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