Individual
RYAN JAMES DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5 BAYBERRY CT, HOLTSVILLE, NY 11742-2523
(631) 447-1106
Mailing address
5 BAYBERRY CT, HOLTSVILLE, NY 11742-2523
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002593
VA
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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