Individual
MONICA NICOLE LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CES
Contact information
Practice address
6257 82ND ST, MIDDLE VILLAGE, NY 11379-1426
(718) 446-9287
Mailing address
6257 82ND ST, MIDDLE VILLAGE, NY 11379-1426
(718) 446-9287
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001694-1
NY
Other
Enumeration date
09/23/2012
Last updated
09/23/2012
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