NPI 1023136553
Vanessa a Carney, ATCMAT
Practice location
- Address
- 17 Parker Ave, Maplewood, NJ 07040-1327
- Phone
- (973) 762-5600
- Fax
- (973) 378-7607
- Mailing address
- 240 Gross St, South Amboy, NJ 08879-2033
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1023136553
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Mar 2007
- Record last updated
- 8 Jul 2007
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.