Individual
MR. KYLE DACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
754 PENFIELD RD, ROCHESTER, NY 14625-2152
(585) 269-9473
Mailing address
40 COLONIAL VILLAGE RD, ROCHESTER, NY 14625-2102
(585) 269-9473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/07/2021
Last updated
07/02/2023
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