Individual
AUNDREA ELIZA KNAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
269 WALKER AVE, EAST PATCHOGUE, NY 11772-5519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
11/15/2022
Last updated
06/27/2023
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