Individual
AIMEE M BRUNELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
102 LORALEE DR, ALBANY, NY 12205-2223
(518) 459-1220
Mailing address
1 RAIDER BLVD, ALBANY, NY 12205-2223
(518) 459-1220
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
311486
NY
2255A2300X
Athletic Trainer
Primary
5338495
NY
Other
Enumeration date
08/19/2006
Last updated
10/30/2023
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