COLLIN SAMUEL RECORE

FORT DRUM, NY
NPI1861041279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  004301-01)
Enumeration Date2019-09-09
Last Update Date2025-11-14
Business Address
COLLIN SAMUEL RECORE ATC
10263 FOURTH ARMORED DIVISION DR
FORT DRUM, NY 13602
Phone number: 315-772-3524
Mailing Address
COLLIN SAMUEL RECORE ATC
26325 LANNER LN
EVANS MILLS, NY 13637-3606
Phone number: 518-354-0872