Individual
JENNIFER CHIMIENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
380 OLD TOWN RD, EAST SETAUKET, NY 11733-3482
(631) 730-4197
(631) 730-4340
Mailing address
391 S OCEAN AVE, PATCHOGUE, NY 11772-3701
(516) 528-0828
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000525-1
NY
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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