MICHAEL SIMON MAISANO

AMHERST, NY
NPI1396381489
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  001054-1)
Enumeration Date2019-11-23
Last Update Date2019-11-23
Business Address
MICHAEL SIMON MAISANO ATC
1901 SWEET HOME RD
AMHERST, NY 14228-5312
Phone number: 716-907-8242
Mailing Address
MICHAEL SIMON MAISANO ATC
81 MEADOW LEA DR
AMHERST, NY 14226-2830
Phone number: 716-907-8242
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