Individual
LATONJA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HEMPSTEAD AVE, ROCKVILLE CENTRE, NY 11570-1135
(516) 323-3000
Mailing address
411 CLINTON AVE, ROCKVILLE CENTRE, NY 11570-3302
(516) 425-3535
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000008336
NY
Other
Enumeration date
05/04/2018
Last updated
07/24/2021
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