Individual
RENEE BARBARA MARCHEWKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
190 7TH ST, BOHEMIA, NY 11716-1300
(631) 244-2228
Mailing address
40 JEFFERSON LANDING CIR, PORT JEFFERSON, NY 11777-1989
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003725
NY
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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