ANDRE MICHAEL VENNER

PATCHOGUE, NY
NPI1831741339
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  002919-1)
Enumeration Date2019-07-15
Last Update Date2019-07-15
Business Address
Mr. ANDRE MICHAEL VENNER MS, LAT, ATC
155 W ROE BLVD
PATCHOGUE, NY 11772-2325
Phone number: 914-906-3735
Mailing Address
Mr. ANDRE MICHAEL VENNER MS, LAT, ATC
145 DOGWOOD DR
WADING RIVER, NY 11792-1605
Phone number: 914-906-3735
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