Individual
MRS. LAUREN MARIE HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
85 WHEELER RD, ATTN: ATHLETIC OFFICE, CENTRAL ISLIP, NY 11722-2018
(631) 348-5017
Mailing address
94 ONTARIO ST, PORT JEFFERSON STATION, NY 11776-4352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000433-1
NY
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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