Individual
AMMAR AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2330 NEWTOWN AVE APT 6BW, ASTORIA, NY 11102-3066
(646) 462-8474
Mailing address
2330 NEWTOWN AVE APT 6BW, ASTORIA, NY 11102-3066
(646) 462-8474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004966-01
NY
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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