Individual
MR. MICHAEL JOSEPH BRECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
20 RAINBOW AVE, STATEN ISLAND, NY 10302-2142
(917) 648-2387
Mailing address
20 RAINBOW AVE, STATEN ISLAND, NY 10302-2142
(917) 648-2387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2022
Last updated
08/26/2023
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