NPI 1003304700

Domingo Vicente Sosa

Practitioner Athletic Trainer Woodhaven, NY

Practice location

Address: 8010 85th Ave, Woodhaven, NY 11421-1110
Phone: (347) 556-4578

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1003304700
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2018
Record last updated: 27 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.