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1720577133
MARC ANTHONY MORTELLARO
NEW YORK, NY
NPI
1720577133
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 001899)
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
MARC ANTHONY MORTELLARO
622 W 168TH ST PH 11
NEW YORK, NY 10032-3720
Phone number: 212-305-6445
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Mailing Address
MARC ANTHONY MORTELLARO
622 W 168TH ST PH 11
NEW YORK, NY 10032-3720
Phone number: 212-305-6445
Copy
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