Individual
STEPHANIE SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4 HASKELL LN, STONY BROOK, NY 11790-2311
(631) 513-7520
Mailing address
4 HASKELL LN, STONY BROOK, NY 11790-2311
(631) 513-7520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67003175
NY
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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