Individual
VERONICA SADE WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
275 ROBBINS LN, SYOSSET, NY 11791-6005
(516) 225-4852
Mailing address
15 EMPORIA AVE, ELMONT, NY 11003-1833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3614
NY
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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