Individual
DANIEL LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 CIRCLE RD, INDOOR SPORTS COMPLEX, STONY BROOK, NY 11794-3500
(631) 632-7709
Mailing address
100 CIRCLE RD, INDOOR SPORTS COMPLEX, STONY BROOK, NY 11794-3500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003378-1
NY
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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