Individual
MS. NICOLE HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
600 GERTRUDE AVE, SOLVAY, NY 13209-1598
(315) 247-6347
Mailing address
600 GERTRUDE AVE, SOLVAY, NY 13209-1598
(315) 247-6347
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001264
NY
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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