GINA SIRACUSANO, ATC, CES

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1790384410

Practice Address

630 MASTIC RD STE 4
Mastic Beach, NY 11951

Phone: (631) 704-1899

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 002663-01 (NY)

Frequently Asked Questions

NPI 1790384410 is the National Provider Identifier for GINA SIRACUSANO, ATC, CES, a Specialist/Technologist - Athletic Trainer provider located in Mastic Beach, NY. This NPI was enumerated on October 23, 2020.
GINA SIRACUSANO, ATC, CES practices at 630 MASTIC RD STE 4, Mastic Beach, NY 11951.

Quick Facts

NPI
1790384410
Type
Individual
Enumerated
Oct 23, 2020
Last Updated
Oct 23, 2020

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