Individual
MS. MICHELE LEIGH MENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,CSCS,CKTP
Contact information
Practice address
100 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2056
(631) 345-9260
(631) 345-5265
Mailing address
PO BOX 407, MORICHES, NY 11955-0407
(631) 838-8113
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000478
NY
Other
Enumeration date
06/28/2006
Last updated
03/02/2024
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