Individual
SOPHIA CHIMENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
6620 FLY RD STE 200, EAST SYRACUSE, NY 13057-5076
(315) 464-4472
Mailing address
455 IDLEWOOD BLVD, BALDWINSVILLE, NY 13027-3021
(631) 871-3745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004523
NY
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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