Individual
EMILY GRACE DEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 632-6000
Mailing address
PO BOX 546, FARMINGVILLE, NY 11738-0546
(631) 965-1186
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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