Individual
CHELSEA LAUREN NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 E 14TH ST, NEW YORK, NY 10003-4283
(646) 998-2073
Mailing address
3389 10TH ST, ASTORIA, NY 11106-4907
(303) 807-8934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003253
NY
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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