Individual
JACQUELYN HAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 CROSSWAYS PARK DR W, WOODBURY, NY 11797-2002
(516) 218-6789
Mailing address
4 SARINA DR, COMMACK, NY 11725-1806
(631) 880-9307
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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