Individual
KAYLA SAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 5TH AVE, BAY SHORE, NY 11706-4147
(631) 427-3700
Mailing address
1448 5TH AVE, BAY SHORE, NY 11706-4147
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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