Individual
TIMOTHY WILLIAM PROHINSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1 EDUCATION DR, PHYSICAL EDUCATION COMPLEX, GARDEN CITY, NY 11530-6719
(516) 572-7530
(516) 228-3531
Mailing address
1 EDUCATION DR, PHYSICAL EDUCATION COMPLEX, GARDEN CITY, NY 11530-6719
(516) 572-7530
(516) 228-3531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000221
NY
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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