Individual
AXEL MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
420 LEXINGTON AVE, NEW YORK, NY 10170-0002
(212) 973-0655
(212) 973-0656
Mailing address
120 GRAHAM ST, UNIT B, JERSEY CITY, NJ 07307-3328
(423) 596-2676
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001980-1
NY
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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