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Jason Locicero, A.T.C
NPI 1619366002 · on the registry since 2015 · sole proprietor
Practice
- Address
- 14-00 Berdan Ave
Fair Lawn, NJ 07410 - Phone
- (201) 794-5450
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey