Individual
MS. STACEY HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEACHER
Contact information
Practice address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 576-0962
Mailing address
35 SHERWOOD DR, MASTIC BEACH, NY 11951-3207
(631) 872-5345
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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