Individual
JASON ROBERT MCKAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
350 MIDDLE COUNTRY RD, SUITE G - LONGWOOD SPORTS THERAPY, CORAM, NY 11727-4410
(631) 716-2700
(631) 716-2782
Mailing address
37 COBBLESTONE DR, SHOREHAM, NY 11786-2311
(631) 849-3447
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001153
NY
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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