Individual
JOHN GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
16 E 52ND ST, 6TH FLLOR, NEW YORK, NY 10022-5306
(212) 752-2400
Mailing address
106 S PACKARD ST, HAMMONTON, NJ 08037-1612
(609) 412-4727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002592
NY
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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