Individual
EMILY BUZZANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, EMT
Contact information
Practice address
1108 WHITNEY AVE, HAMDEN, CT 06517-3499
(203) 230-2424
Mailing address
315 YORK ST, STRATFORD, CT 06615-7958
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001145
CT
2255A2300X
Athletic Trainer
1145
CT
Other
Enumeration date
11/03/2016
Last updated
02/17/2020
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