JOHN PATRICK RENIEDO ACOSTA

VALLEY STREAM, NY
NPI1225305014
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  002196-1)
Enumeration Date2011-11-21
Last Update Date2011-11-21
Business Address
-- JOHN PATRICK RENIEDO ACOSTA A.T.C.
1046 MARCH DR
VALLEY STREAM, NY 11580-1841
Phone number: 551-587-9223
Mailing Address
-- JOHN PATRICK RENIEDO ACOSTA A.T.C.
1046 MARCH DR
VALLEY STREAM, NY 11580-1841
Phone number: 551-587-9223
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