MR. Ivan Henriquez, ATC
NPI #1851001911 in Secaucus, New Jersey
Provider Information
- NPI Number
- 1851001911
- Entity Type
- Individual
- Name
- MR. Ivan Henriquez, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Nov 30, 2022
- Last Updated
- Dec 1, 2022
Practice Location
- Address
- 55 MEADOWLANDS PKWY
- City
- Secaucus
- State
- New Jersey
- ZIP Code
- 07094-2977
- Phone
- (201) 392-3424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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