IVAN CANDELARIA

STATEN ISLAND, NY
NPI1710918214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NY  0008521)
Enumeration Date2006-07-05
Last Update Date2007-08-28
Business Address
MR. IVAN CANDELARIA ATC, L, CSCS
32 LAMBERTS LANE
STATEN ISLAND, NY 10314
Phone number: 718-477-7883
Mailing Address
MR. IVAN CANDELARIA ATC, L, CSCS
32 LAMBERTS LN
STATEN ISLAND, NY 10314-7207
Phone number: 917-846-8684
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