Individual
TIMOTHY EDWARD HEGARTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 FULTON ST APT J2, FARMINGDALE, NY 11735-3530
(516) 420-0632
Mailing address
600 FULTON ST APT J2, FARMINGDALE, NY 11735-3530
(516) 420-0632
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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