Individual
KATE LYNN CHIMIENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
52 SMITH TER FL1, STATEN ISLAND, NY 10304
(516) 769-3870
Mailing address
52 SMITH TER FL 1, STATEN ISLAND, NY 10304-2104
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002568
NY
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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