Individual
MR. BENNETT ERIN QUIGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13 OAK DR, HAMILTON, NY 13346-1338
(315) 886-2738
Mailing address
13 OAK DR, HAMILTON, NY 13346-1386
(315) 886-2738
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002907
NY
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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