Individual provider · Type 1 NPI
Robert Michael Addon, ATC
Student in an Organized Health Care Education/Training Program · Suffern, NY
NPI number
1013249366
Active
Practice location
49 Viola Rd
Suffern, NY 10901-3228
Fax (845) 357-4947
Mailing address
252 Richard Ct
Pomona, NY 10970-2305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 001178 (NY) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
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About NPI 1013249366
Robert Michael Addon, ATC's National Provider Identifier is 1013249366, issued on Feb 10, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Suffern, NY. The record was last updated on Feb 10, 2010.