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1902531593
PHILIP RYDER
WEST ISLIP, NY
NPI
1902531593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 002240)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
PHILIP RYDER ATC
596 CENTER BRIARWOOD AVE
WEST ISLIP, NY 11795-4004
Phone number: 191-449-7291
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Mailing Address
PHILIP RYDER ATC
596 CENTER BRIARWOOD AVE
WEST ISLIP, NY 11795-4004
Phone number: 191-449-7291
Copy
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