Individual
ANDREW JARRED EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
(716) 250-6561
Mailing address
3 NICHOLAS DR N, TONAWANDA, NY 14150-6107
(716) 338-7054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002267-1
NY
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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