Individual
MR. KEVIN PETER DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1834 HENDRICKSON ST, BROOKLYN, NY 11234-4520
(718) 336-5877
Mailing address
1834 HENDRICKSON ST, BROOKLYN, NY 11234-4520
(718) 336-5877
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67 001757
NY
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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