Individual
PAMELA BETTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 ISLIP AVENUE, CENTRAL ISLIP, NY 11722
(516) 236-0714
Mailing address
243 PERIMETER ST, HOLBROOK, NY 11741-3821
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002535
NY
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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