Individual
IAN LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1300 FRANKLIN AVE, SUITE LL2, GARDEN CITY, NY 11530-1886
(516) 663-9099
Mailing address
135 COTTAGE BVLD, HICKSVILLE, NY 11801
(516) 729-3357
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003024
NY
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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