Individual
COURTENAY TRAINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
379 MOONEY POND RD, SELDEN, NY 11784-3416
(561) 789-8980
Mailing address
23 ROYALSTON LN, SOUTH SETAUKET, NY 11720-1414
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
765305-1
NY
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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