Individual
MS. EMILY RUTH CHADWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
30 TERRACE CIR APT 1C, GREAT NECK, NY 11021-4187
(603) 491-8065
Mailing address
30 TERRACE CIR APT 1C, GREAT NECK, NY 11021-4187
(603) 491-8065
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003135
NY
Other
Enumeration date
11/15/2017
Last updated
03/17/2018
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