PAUL D LIVE

NEW YORK, NY
NPI1992406128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  003108-1)
Enumeration Date2023-03-14
Last Update Date2023-03-14
Business Address
PAUL D LIVE ATC
622 W 168TH ST PH 11
NEW YORK, NY 10032-3720
Phone number: 914-787-3283
Mailing Address
PAUL D LIVE ATC
202 12TH ST APT 2
PALISADES PARK, NJ 07650-2047
Phone number: 201-207-3819
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