IVAN MAK

BAYSIDE, NY
NPI1649870569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NY  002005-1)
Enumeration Date2020-10-29
Last Update Date2020-10-29
Business Address
IVAN MAK
22205 56TH AVE
BAYSIDE, NY 11364-1432
Phone number: 718-281-5191
Mailing Address
IVAN MAK
222-19 B 69 AVE.
OAKLAND GARDENS, NY 11364
Phone number:
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