Individual
MISS SAMANTHA MORGAN WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
529 MYRTLE AVE, WEST ISLIP, NY 11795-3715
(631) 539-4767
Mailing address
529 MYRTLE AVE, WEST ISLIP, NY 11795-3715
(631) 539-4767
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/05/2016
Last updated
06/05/2017
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