LUIS ALICEA

BRONX, NY
NPI1598161077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  2000018995)
Enumeration Date2014-11-12
Last Update Date2014-11-12
Business Address
-- LUIS ALICEA ATC
2869 BAINBRIDGE AVE APT 2C
BRONX, NY 10458-2830
Phone number: 718-584-8633
Mailing Address
-- LUIS ALICEA ATC
2869 BAINBRIDGE AVE APT 2C
BRONX, NY 10458-2830
Phone number: 718-584-8633
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