Candelaria, Ivan

Candelaria, Ivan is an individual health care provider with primary practice located at 32 Lamberts Lane , Staten Island NY 10314. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Candelaria, Ivan can be contacted via phone (718) 477-7883.

Contact Information

Primary practice address
32 Lamberts Lane Staten Island NY 10314
Phone: (718) 477-7883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0008521 New York

Profile Details

NPI number 1710918214
LBN Legal business name Candelaria, Ivan
Credentials ATC, L, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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