Individual
KATE ELIZABETH DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 BLOSSOM HEATH AVE, LYNBROOK, NY 11563-2006
(516) 493-0190
Mailing address
56 BLOSSOM HEATH AVE, LYNBROOK, NY 11563-2006
(516) 493-0190
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
18900583
CT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/02/2019
Last updated
05/02/2024
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