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1053444075
BRIAN BERNASCONI
WEST NYACK, NY
NPI
1053444075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001111-1)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- BRIAN BERNASCONI ATC
31 DEMAREST MILL RD
WEST NYACK, NY 10994-1515
Phone number: 845-624-3483
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Mailing Address
-- BRIAN BERNASCONI ATC
7 E LAWRENCE PARK DR UNIT #8
PIERMONT, NY 10968
Phone number:
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