Individual
STACIE LYNN HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
19 WASHINGTON AVE, SCHENECTADY, NY 12305-1602
(518) 423-1261
Mailing address
19 WASHINGTON AVE, SCHENECTADY, NY 12305-1602
(518) 423-1261
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000449
NY
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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