GINA SIRACUSANO

MASTIC BEACH, NY
NPI1790384410
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  002663-01)
Enumeration Date2020-10-23
Last Update Date2020-10-23
Business Address
GINA SIRACUSANO ATC, CES
630 MASTIC RD STE 4
MASTIC BEACH, NY 11951-1020
Phone number: 631-704-1899
Mailing Address
GINA SIRACUSANO ATC, CES
PO BOX 57
MORICHES, NY 11955-0057
Phone number: 631-704-1899
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