Female

Ms. Courtney C. Civitano MS, ATC

Athletic Trainer in Brooklyn, NY(View on Map)

Full Name

Ms. Courtney Catherine Civitano MS, ATC

NPI Number

1801132196

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/14/2012

Specialties

(Taxonomies)

Code

2255A2300X

Primary Taxonomy

Yes

Licenses

State

New York

License Number

001724-1

Contact
Information

Purpose

Mailing
Location

Address

6525 160TH ST
1 UNIVERSITY PLZ

City

Fresh Meadows
Brooklyn

State

NY
NY

Postal Code

11365-2567
11201-5301

Country

US
US

Telephone Number

N/A
(718) 780-4158

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/14/2012

Provider Address

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