Individual
MR. CEDRIC MYRTHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 NICHOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-2252
Mailing address
10 LAURA DR, WESTBURY, NY 11590-2810
(917) 923-7382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
08/04/2021
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