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)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