Individual
TERESA CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
75 BURT DR, DEER PARK, NY 11729-5701
(631) 254-5577
Mailing address
4918 ENFIELD PL FL 1, OAKLAND GARDENS, NY 11364-1423
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003241-1
NY
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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