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Individual

KELLY A HATZMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, L

Contact information

Practice address
188 OAKWOOD RD, HUNTINGTON, NY 11743-4235
(631) 673-2018
Mailing address
87 CARROLL AVE, LAKE RONKONKOMA, NY 11779-4231

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001242
NY

Other

Enumeration date
05/01/2018
Last updated
05/01/2018
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