Individual
KERRY BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR STE LL105, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
120 OLD SOUTH PLANK RD, NEWBURGH, NY 12550-2631
(845) 728-6522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/01/2022
Last updated
01/01/2022
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