Paul Cicero JR., ATC, CES

NPI #1245645969 in Medford, New York

Provider Information

NPI Number
1245645969
Entity Type
Individual
Name
Paul Cicero JR., ATC, CES
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, CES
Enumeration Date
Jun 23, 2014
Last Updated
Jun 23, 2014

Practice Location

Address
264 BRIDGEPORT AVE
ZIP Code
11763-4019
Phone
(516) 456-1693

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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