Individual
AMANDA E CHESNOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CRAIG B GARIEPY AVE, ISLIP TERRACE, NY 11752-2820
(631) 650-6564
Mailing address
54 WINSTON DR, SMITHTOWN, NY 11787-3924
(631) 796-8486
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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